Provider Demographics
NPI:1871837120
Name:RENTERIA, HORACIO (LMFT)
Entity Type:Individual
Prefix:MR
First Name:HORACIO
Middle Name:
Last Name:RENTERIA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 G ST STE G
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2629
Mailing Address - Country:US
Mailing Address - Phone:559-318-7123
Mailing Address - Fax:
Practice Address - Street 1:740 G ST STE G
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2629
Practice Address - Country:US
Practice Address - Phone:559-318-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 75210106H00000X
CA87788106H00000X
CALMFT 87788106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist