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MARIA YOLANDA RENTERIA LPC

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1548893233

Individual Registrant:
 MARIA YOLANDA RENTERIA LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
214 W MAIN ST  SOMERTON, AZ 85350-6329 US
Tel: 928-627-1120  Fax: 928-722-6113

Contact information for business:
PO BOX 617  SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001  Fax: 928-722-6113

Registration Information:
NPI: 1548893233
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
AZLPC-18731

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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