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Camryn Conrad-Renteria, LCPC

Counselor, Professional in Vale, OR. Individual provider (NPI-1).

NPI number1801174875
StatusActive
Last updated in NPPESJan 13, 2026

Details

NPI
1801174875
Entity type
Individual (NPI-1)
Name
Camryn Conrad-Renteria
Credential
LCPC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2011
Certification date
Jan 13, 2026
Last updated
Jan 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalC3940ORYes
101YP2500X Counselor, ProfessionalLCPC-5843ID

Practice location

789 Washington St W
Vale, OR 97918-1147

Phone 541-473-2101 · Fax 541-473-2668

Mailing address

1441 Ne 10th Ave
Payette, ID 83661-5420

Phone 208-642-9376 · Fax 208-642-9598

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