Individual
CAMRYN CONRAD-RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
789 WASHINGTON ST W, VALE, OR 97918-1147
(541) 473-2101
(541) 473-2668
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3940
OR
101YP2500X
Professional Counselor
LCPC-5843
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500702739
—
OR
Enumeration date
07/25/2011
Last updated
01/13/2026
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