Most Relevant Information
Provider Data
| NPI Number: | 1003244682 |
| Provider Name: | RENEE MARRIOTT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT87249 |
Most Important Dates
| Enumeration Date: | 10/17/2013 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
15217 SAN BERNARDINO AVE
FONTANA
CA
92335
Practice Location Phone/Fax
| Phone: | 9093471671 |
| Fax: |
Provider Mailing Location
15217 SAN BERNARDINO AVE
FONTANA
CA
923355327
Provider Mailing Phone/Fax
| Phone: | 9093471671 |
| Fax: |