Provider Demographics
NPI:1518765544
Name:BOND, RENEE S (LMFT)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:S
Last Name:BOND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5626 SULTANA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2374
Mailing Address - Country:US
Mailing Address - Phone:626-225-2907
Mailing Address - Fax:
Practice Address - Street 1:5626 SULTANA AVE APT 3
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2374
Practice Address - Country:US
Practice Address - Phone:626-225-2907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT109183106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist