| Doctor Name: | RENEE NICOLE GREGG |
| NPI Number: | 1043467095 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSW |
| License Number: | |
| Business Practice Address: | 5416 Holdener Rd Elmira, CA - 95625 |
| Business Phone Number: | 7074536227 |
| Business Fax Number: | |
| Mailing Address: | 6757 Willow Rd, VACAVILLE |
| State: | CA |
| Postal Code: | 956879425 |
| Phone Number: | 5103345920 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |