Provider Demographics
NPI:1114453776
Name:CLEMENTS-BIEHL, RENE'
Entity Type:Individual
Prefix:
First Name:RENE'
Middle Name:
Last Name:CLEMENTS-BIEHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 W PACIFIC COAST HWY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-5237
Mailing Address - Country:US
Mailing Address - Phone:562-432-0713
Mailing Address - Fax:888-972-3617
Practice Address - Street 1:514 W PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-5237
Practice Address - Country:US
Practice Address - Phone:562-432-0713
Practice Address - Fax:888-972-3617
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10763-R101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)