Individual
KIABETH REYNOSO RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
9355 E STOCKTON BLVD STE 230, ELK GROVE, CA 95624-9526
(000) 000-0000
Mailing address
PO BOX 291, GALT, CA 95632-0291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC8941
CA
101YM0800X
Mental Health Counselor
Primary
LPCC19454
CA
101YP2500X
Professional Counselor
Primary
LPCC19454
CA
106S00000X
Behavior Technician
RBT-18-48872
CA
Other
Enumeration date
05/08/2018
Last updated
02/26/2026
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