Individual provider · Type 1 NPI
Renee Small
Mental Health Counselor · Phoenix, AZ
NPI number
1043860810
Active
Practice location
4802 E Ray Rd Ste 23-587
Phoenix, AZ 85044-6405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-22889 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1043860810
Renee Small's National Provider Identifier is 1043860810, issued on Sep 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 6, 2025.