Individual
MRS. RENEE LYN BELGARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 EMPIRE ST, FAIRFIELD, CA 94533-4719
(707) 429-8888
Mailing address
1335 EMPIRE ST, FAIRFIELD, CA 94533-4719
(707) 429-8888
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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