Individual
BERTHA ALICIA REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E CHAPMAN AVE STE 106, FULLERTON, CA 92831-3846
(714) 680-9000
Mailing address
PO BOX 919, FULLERTON, CA 92836-0919
(714) 680-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
82359
CA
Other
Enumeration date
06/24/2010
Last updated
05/21/2021
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