Doctor Name: | RENE KEY |
NPI Number: | 1356772867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 8780 19th St Suite 249 Alta Loma, CA - 917014608 |
Business Phone Number: | 9096462744 |
Business Fax Number: | |
Mailing Address: | 8780 19th St, Suite 249 ALTA LOMA |
State: | CA |
Postal Code: | 917014608 |
Phone Number: | 9096462744 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2013 |
NPI Last Update Date: | 12/09/2013 |
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: |