Provider Demographics
NPI:1437631082
Name:HONG, RENEE L (LMFT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:L
Last Name:HONG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:L
Other - Last Name:HA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 W BAY STATE ST UNIT 1444
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-2860
Mailing Address - Country:US
Mailing Address - Phone:626-604-1990
Mailing Address - Fax:
Practice Address - Street 1:808 N 2ND ST APT 203
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1301
Practice Address - Country:US
Practice Address - Phone:626-604-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127699106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist