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General NPI Number Information
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NPI Number | 1689111346
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Entity Type | Individual
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Provider Name | LONNIE RENTERIA MA, LMHC
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Gender | Male
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 334 N NORMAN C FRANCIS PKWY
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City | NEW ORLEANS
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State | LA
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Zip | 70119-5312
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Country | US
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Telephone | 206-553-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 748 MARKET ST
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City | TACOMA
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State | WA
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Zip | 98402-3737
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Country | US
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Telephone | 206-553-9966
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60918680
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10123
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License Number State | LA
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