Individual
MR. JOSE RENE MARENTES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3715 COLUMBUS ST, BAKERSFIELD, CA 93306-2719
(661) 868-7156
(661) 677-9270
Mailing address
3715 COLUMBUS ST, BAKERSFIELD, CA 93306-2719
(661) 868-7156
(661) 677-9270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1255520617
CA
172V00000X
Community Health Worker
CI41131223
CA
373H00000X
Day Training/Habilitation Specialist
Primary
CI41131223
CA
Other
Enumeration date
05/30/2019
Last updated
03/19/2025
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