MEDICARE: RENEE HAZEL HARRIS

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
1	101YM0800X	Mental Health Counselor
2	175T00000X	Peer Specialist	MPSSNDCZTP	CA

General Provider Information

NPI Number	:	1134244247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE HAZEL HARRIS

Provider Business Mailing Address
First Line	:	2415 UNIVERSITY AVE
Second Line	:	SUITE 30
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-1164
Country	:	US
Telephone Number	:	650-363-4030
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 UNIVERSITY AVE
Second Line	:	SUITE 30
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-1164
Country	:	US
Telephone Number	:	650-363-4030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	10/04/2023

Similar Medicare Providers

1053329144 — DR. ALYSE GABRIEL D.O.
Practice Location Address:

2415 UNIVERSITY AVE , 3RD FLOOR
EAST PALO ALTO, CA
94303-1164

Practice Phone: 650-363-4030
Practice Fax:

1144300690 — JEDEDIAH MUIR HOOPER M.D.
Practice Location Address:

2415 UNIVERSITY AVE , EAST PALO ALTO COMMUNITY COUNSELLING - 3RD FLOOR
EAST PALO ALTO, CA
94303-1164

Practice Phone: 650-773-1471
Practice Fax: 650-489-1320

1639296601 — MARY J STAVN
Practice Location Address:

2415 UNIVERSITY AVE
EAST PALO ALTO, CA
94303-1164

Practice Phone: 650-363-4030
Practice Fax: 650-328-6834

1184744229 — ERMA J. PROTHRO
Practice Location Address:

2415 UNIVERSITY AVE , SUITE 30
EAST PALO ALTO, CA
94303-1164

Practice Phone: 650-363-4030
Practice Fax: 650-328-6834

1760606743 — CLAUDIA TINOCO
Practice Location Address:

2415 UNIVERSITY AVE
EAST PALO ALTO, CA
94303-1164

Practice Phone: 650-363-4030
Practice Fax: 650-328-6834

1255656674 — MISS ANNA N TRAN NURSE PRACTITIONER
Practice Location Address:

2415 UNIVERSITY AVE , THIRD FLOOR
EAST PALO ALTO, CA
94303-1164

Practice Phone: 650-363-4468
Practice Fax:

Directions to “ RENEE HAZEL HARRIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.