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NPI Code Detail

MEDICARE: RENE REIS MFT

MEDICARE: RENE REIS MFT
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
1106H00000XMarriage & Family TherapistMFC36542CA

General Provider Information

NPI Number : 1396846820
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE REIS MFT
Provider Business Mailing Address
First Line : 2020 7TH AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-3812
Country : US
Telephone Number : 916-447-5774
Fax Number : 916-446-8070
Provider Business Practice Location Address
First Line : 930 G ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-1802
Country : US
Telephone Number : 916-441-2933
Fax Number : 916-446-8070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ RENE REIS MFT” Practice Location

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