Provider Demographics
NPI:1265570915
Name:D'ANNA, RENEE LOUISE (MFT)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:LOUISE
Last Name:D'ANNA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:LOUISE
Other - Last Name:D'ANNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PPS 2008
Mailing Address - Street 1:325 OAKVUE RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3617
Mailing Address - Country:US
Mailing Address - Phone:925-946-0437
Mailing Address - Fax:
Practice Address - Street 1:1936 CARLOTTA DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-1358
Practice Address - Country:US
Practice Address - Phone:925-682-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 32816106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist