Daisy Reyes Renteria, RSA
Counselor, Mental Health in Beardstown, IL. Individual provider (NPI-1).
NPI number1003371345
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1003371345
- Entity type
- Individual (NPI-1)
- Name
- Daisy Reyes Renteria
- Credential
- RSA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2019
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
121 E 2nd StBeardstown, IL 62618-1263
Phone 217-323-2980 · Fax 217-323-3731
Mailing address
121 E 2nd StBeardstown, IL 62618-1263
Phone 217-323-2980 · Fax 217-323-3731
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