Individual provider · Type 1 NPI
Rena Whitney Corban
Addiction (Substance Use Disorder) Counselor · San Rafael, CA
NPI number
1821850728
Active
Practice location
135 Paul Dr
San Rafael, CA 94903-2023
Mailing address
PO Box 2165
San Rafael, CA 94912-2165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1516320723 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821850728
Rena Whitney Corban's National Provider Identifier is 1821850728, issued on Jan 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Jan 25, 2024.