Provider Demographics
NPI:1477747335
Name:MONRAD, RENEE CHARLENE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:CHARLENE
Last Name:MONRAD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26384 CARMEL RANCHO LN
Mailing Address - Street 2:SUITE 200E
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8780
Mailing Address - Country:US
Mailing Address - Phone:408-892-0411
Mailing Address - Fax:831-643-0835
Practice Address - Street 1:26384 CARMEL RANCHO LN
Practice Address - Street 2:SUITE 200E
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8780
Practice Address - Country:US
Practice Address - Phone:408-892-0411
Practice Address - Fax:831-643-0835
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53642106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist