Provider Demographics
NPI:1841882289
Name:HERMAN, RENEE (LMFT)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:HERMAN
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 1:694 N LARCH ST UNIT 1524
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759-0749
Mailing Address - Country:US
Mailing Address - Phone:503-482-9048
Mailing Address - Fax:
Practice Address - Street 1:694 N LARCH ST UNIT 1524
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-0749
Practice Address - Country:US
Practice Address - Phone:503-482-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT2253106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist