Provider Demographics
NPI:1518445345
Name:WOODRING, RENEE MARIE (CPC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:MARIE
Last Name:WOODRING
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2731 ENCHANTED ISLE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3857
Mailing Address - Country:US
Mailing Address - Phone:702-334-3178
Mailing Address - Fax:725-269-1250
Practice Address - Street 1:2731 ENCHANTED ISLE ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3857
Practice Address - Country:US
Practice Address - Phone:702-334-3178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP5015101YP2500X
WALH61383215101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional