Doctor Name: | DR. RENEE CLAIRE LESTRANGE |
NPI Number: | 1740469279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | LPC005032 |
Business Practice Address: | 1814 Clairmont Rd Decatur, GA - 300333405 |
Business Phone Number: | 4046361457 |
Business Fax Number: | 4046367449 |
Mailing Address: | 38 Vinings Lake Dr Sw, MABLETON |
State: | GA |
Postal Code: | 301262536 |
Phone Number: | 7709442164 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2007 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC005032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |