Individual provider · Type 1 NPI

Nicole Renae, MFT

Marriage & Family Therapist · Petaluma, CA

NPI number 1245652585 Active

Practice location

7 4th St, Suite 49
Petaluma, CA 94952-3043

Call (707) 347-9349 Map

Mailing address

1527 Beaver St
Santa Rosa, CA 95404-2935

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPCC 654 (CA)
Marriage & Family Therapist Primary 106H00000X45457 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1245652585

Nicole Renae, MFT's National Provider Identifier is 1245652585, issued on Jan 6, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Petaluma, CA. The record was last updated on Feb 11, 2022.