Whalio Doctors

NPI 1083067748

Amy Le Reve Renderos, LMFTLPCC

Practitioner Marriage & Family Therapist Garden Grove, CA

Practice location

Address
12371 Lewis St STE 103, Garden Grove, CA 92840-4687
Phone
(949) 298-7247

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 115492 (CA)

Registry record

NPI
1083067748
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Jul 2016
Record last updated
3 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.