MRS. RENEE EVELYN MILLARD (NPI# 1205068996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205068996 |
| Entity Type | Individual |
| Full Name | MRS. RENEE EVELYN MILLARD |
| Credential | F.A.C.T. CERT #382 |
| Practice Address |
2515 Camino Del Rio S San Diego CA 92108-3792 |
| Practice Telephone | 6192948151 |
| Mailing Telephone | 6192948151 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AOD / CASE MANAGEMENT | 588 | 01 |
| Street Address |
2515 CAMINO DEL RIO S |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394033 | Dan Whitehead | Clinical Neuropsychologist | 2515 Camino Del Rio S, Suite 114, San Diego, CA 92108-3792 | 2005-08-24 |
| 1134522642 | Katrina Gervasio | Marriage & Family Therapist | 2515 Camino Del Rio S, Suite 215, San Diego, CA 92108-3792 | 2014-09-29 |
| 1649609959 | Advantage On Call | Point of Service | 2515 Camino Del Rio S, 142, San Diego, CA 92108-3792 | 2013-11-06 |
| 1700130788 | Terry Wilke, Lcsw Apc | Social Worker | 2515 Camino Del Rio S, Suite 317, San Diego, CA 92108 | 2012-10-30 |
| 1205081726 | Derek Rice | Chiropractor | 2515 Camino Del Rio S, Suite 328, San Diego, CA 92108-3792 | 2008-11-25 |
| 1750574281 | Family Medical Acupuncture Group | Acupuncturist | 2515 Camino Del Rio S, Suite #220, San Diego, CA 92108-3792 | 2007-08-17 |
| 1043416530 | Laura Ann Christofferson | Social Worker | 2515 Camino Del Rio S, Ste. 317, San Diego, CA 92108-3792 | 2007-06-22 |
| 1083836019 | Ofelia Martinez | Orthotic Fitter | 2515 Camino Del Rio S, Suite 242a, San Diego, CA 92108-3792 | 2007-05-02 |
| 1548379357 | Teresa A Wilke | Social Worker | 2515 Camino Del Rio S, Suite 317, San Diego, CA 92108-3792 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on MRS. RENEE EVELYN MILLARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.