Albert De Leon Renovato in San Bernardino - Marriage & Family Therapist
Albert De Leon Renovato - NPI 1023205861
Albert De Leon Renovato is a Marriage & Family Therapist in San Bernardino, California. Albert De Leon Renovato practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Albert De Leon Renovato is 1023205861. The last update date is 2020-02-25.
Albert De Leon Renovato's current location address is 325 W Hospitality Ln, San Bernardino, California. You can contact this provider via phone number 9094275000. The mailing address for Albert De Leon Renovato is 325 W Hospitality Ln, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Albert De Leon Renovato |
|---|---|
| Address | 325 W Hospitality Ln, San Bernardino, California |
| Phone Number | 9094275000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1023205861 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2020-02-25 |
Provider Mailing Address Detail
| Address | 325 W Hospitality Ln |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924083243 |
| Phone Number | 9094275000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 90537 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Albert De Leon Renovato by the Centers for Medicare & Medicaid Services?
The Albert De Leon Renovato has been assigned the NPI (National Provider Identifier) 1023205861 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Albert De Leon Renovato?
The Albert De Leon Renovato is physically situated at 325 W Hospitality Ln, in the city of San Bernardino, state of CA, with the postal code 924083243.
What is Albert De Leon Renovato's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Albert De Leon Renovato is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023205861 to Albert De Leon Renovato?
The Centers for Medicare & Medicaid Services originally issued the 1023205861 to Albert De Leon Renovato on 2007-09-25.
As of what date were the details pertaining to Albert De Leon Renovato last refreshed?
The information related to the Albert De Leon Renovato, including its address, specialty, and other relevant details, was last updated on 2020-02-25.