Provider Demographics
NPI:1760991343
Name:BARNEY, RENEE PETRA (LPC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:PETRA
Last Name:BARNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820B CRESCENT ST APT 6
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5663
Mailing Address - Country:US
Mailing Address - Phone:650-703-3284
Mailing Address - Fax:
Practice Address - Street 1:820B CRESCENT ST APT 6
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5663
Practice Address - Country:US
Practice Address - Phone:650-703-3284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.012584101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional