| Doctor Name: | MRS. TERESA L RENTERIA |
| NPI Number: | 1194826222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 39251 Ortega Hwy Lake Elsinore, CA - 925306502 |
| Business Phone Number: | 9516782125 |
| Business Fax Number: | |
| Mailing Address: | 29001 Orange Blossom Ct, LAKE ELSINORE |
| State: | CA |
| Postal Code: | 925301758 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |