Provider Demographics
NPI:1477357960
Name:CARON, RENEE
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:
Last Name:CARON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 FRANCIS MARIE CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9131
Mailing Address - Country:US
Mailing Address - Phone:336-944-1870
Mailing Address - Fax:
Practice Address - Street 1:5804 FRANCIS MARIE CT
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9131
Practice Address - Country:US
Practice Address - Phone:336-944-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health