Provider Demographics
NPI:1972101079
Name:SCHENA, REE ANGELO JOHN
Entity Type:Individual
Prefix:
First Name:REE
Middle Name:ANGELO JOHN
Last Name:SCHENA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:SCHENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4650 TUSCANY ST APT E143
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:CO
Mailing Address - Zip Code:80620-9055
Mailing Address - Country:US
Mailing Address - Phone:435-406-4786
Mailing Address - Fax:
Practice Address - Street 1:4650 TUSCANY ST APT E143
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80620-9055
Practice Address - Country:US
Practice Address - Phone:435-406-4786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-12
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health