Individual provider · NPI-1

Rene Marie Razo

Social Worker, Clinical · Indio, CA

NPI number1477950517
StatusActive
Last updated in NPPESOct 28, 2026

Details

NPI
1477950517
Entity type
Individual (NPI-1)
Name
Rene Marie Razo
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 3, 2014
Certification date
Oct 28, 2026
Last updated
Oct 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical130110CAYes
261QM0850X Clinic/Center, Adult Mental Health––
101YM0800X Counselor, Mental Health––

Practice location

82675 Us Highway 111
Indio, CA 92201-5635

Phone 760-393-3317

Mailing address

82675 Us Highway 111
Indio, CA 92201-5635

Phone 760-393-3317

Other practice locations

73280 Wyconda St
Thousand Palms, CA 92276-3760

Phone 760-590-7994 · Fax 760-590-7994

82675 Us Highway 111
Indio, CA 92201-5635

Phone 760-393-3317

43585 Monterey Ave Ste 1
Palm Desert, CA 92260-9398

Phone 760-777-7720

1330 W Ramsey St
Banning, CA 92220-4477

Phone 951-849-7142

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