Reneice Johntine Charles, MSW
Counselor, Mental Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1003239641
StatusActive
Last updated in NPPESFeb 4, 2014
Details
- NPI
- 1003239641
- Entity type
- Individual (NPI-1)
- Name
- Miss Reneice Johntine Charles
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2014
- Last updated
- Feb 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | ASW34852 | CA | Yes |
Practice location
155 N Occidental BlvdLos Angeles, CA 90026-4641
Phone 213-381-2931 · Fax 213-385-8446
Mailing address
155 N Occidental BlvdLos Angeles, CA 90026-4641
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