Provider Demographics
NPI:1295213148
Name:SCHWARTZ, RENEE DANIELLE (LPC, RPT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:DANIELLE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:DANIELLE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, RPT
Mailing Address - Street 1:201 DEERMOUNT ST 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901
Mailing Address - Country:US
Mailing Address - Phone:907-228-9463
Mailing Address - Fax:
Practice Address - Street 1:201 DEERMOUNT ST 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901
Practice Address - Country:US
Practice Address - Phone:907-228-9463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK127037101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional