Provider Demographics
NPI:1952853293
Name:BOND, RENEE (LPCC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 X ST
Mailing Address - Street 2:2B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-2757
Mailing Address - Country:US
Mailing Address - Phone:916-572-7623
Mailing Address - Fax:
Practice Address - Street 1:2710 X ST
Practice Address - Street 2:2B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2757
Practice Address - Country:US
Practice Address - Phone:916-572-7623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC471101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health