Individual provider · Type 1 NPI
Rena Raju, LICENSED PSYCH TECH
Addiction (Substance Use Disorder) Counselor · Marysville, CA
NPI number
1457874729
Active
Practice location
1496 N. Beale Rd
Marysville, CA 95901
Mailing address
1496 N Beale Rd
Marysville, CA 95901-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457874729
Rena Raju, LICENSED PSYCH TECH's National Provider Identifier is 1457874729, issued on Jul 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marysville, CA. The record was last updated on Jul 19, 2017.