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NPI Code Detail

MEDICARE: REBECCA ANN LOUISEQ RIENTORD

MEDICARE:   REBECCA ANN LOUISEQ RIENTORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1023370244
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN LOUISEQ RIENTORD
Provider Business Mailing Address
First Line : 401 S TUSTIN ST
Second Line :
City : ORANGE
State : CA
Zip : 92866-2550
Country : US
Telephone Number : 714-361-4860
Fax Number :
Provider Business Practice Location Address
First Line : 401 S TUSTIN ST
Second Line :
City : ORANGE
State : CA
Zip : 92866-2550
Country : US
Telephone Number : 714-361-4860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2012
Last Update Date : 06/13/2012

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Directions to “ REBECCA ANN LOUISEQ RIENTORD ” Practice Location

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