Lewellyn, Rene

Lewellyn, Rene is an individual health care provider with primary practice located at 1210 Central Blvd Suite 122, Brentwood CA 94513-2242. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lewellyn, Rene can be contacted via phone (925) 634-3821.

Contact Information

Primary practice address
1210 Central Blvd Suite 122 Brentwood CA 94513-2242
Phone: (925) 634-3821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC42173 California

Profile Details

NPI number 1003962564
LBN Legal business name Lewellyn, Rene
Credentials M.A, MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Mar 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003962564 NPPES
California Other 09064 CCC MEDI-CAL

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