Individual
ROBERTO RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4711 N BROADWAY ST STE 105, CHICAGO, IL 60640-4908
(660) 349-0546
Mailing address
635 W GRACE ST APT 703, CHICAGO, IL 60613-4022
(660) 349-0546
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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