Provider Demographics
NPI:1609231547
Name:NEWTON, RENEE (MS)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:GUY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7336 LITTLEROCK RD SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7421
Mailing Address - Country:US
Mailing Address - Phone:360-628-7805
Mailing Address - Fax:360-956-1170
Practice Address - Street 1:7336 LITTLEROCK RD SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7421
Practice Address - Country:US
Practice Address - Phone:360-628-7805
Practice Address - Fax:360-956-1170
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60610548101YM0800X
WAFC60574304101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional