Individual
ALICIA B RENATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
735 SUNRISE AVE STE 115, ROSEVILLE, CA 95661-4537
(707) 362-5722
Mailing address
800 CHAMBERS DR NE, HUNTSVILLE, AL 35801-1536
(707) 362-5722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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