Provider Demographics
NPI:1538056304
Name:LUJAN, REYLENE MONIQUE (MS, PPS, APCC)
Entity type:Individual
Prefix:MRS
First Name:REYLENE
Middle Name:MONIQUE
Last Name:LUJAN
Suffix:
Gender:F
Credentials:MS, PPS, APCC
Other - Prefix:
Other - First Name:REYLENE
Other - Middle Name:MONIQUE
Other - Last Name:VILLEGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92572-0136
Mailing Address - Country:US
Mailing Address - Phone:951-580-6188
Mailing Address - Fax:
Practice Address - Street 1:1600 E FLORIDA AVE STE 312&314
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-8643
Practice Address - Country:US
Practice Address - Phone:951-852-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool