Provider Demographics
NPI:1790524023
Name:RENOUF, CHRISTINE LEVI-DAVIDSON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LEVI-DAVIDSON
Last Name:RENOUF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:LOUISE
Other - Last Name:SALVINSKI & LEVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:303 S GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-3235
Mailing Address - Country:US
Mailing Address - Phone:626-967-6354
Mailing Address - Fax:
Practice Address - Street 1:303 S GLENDORA AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-3235
Practice Address - Country:US
Practice Address - Phone:626-967-6354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS210191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical