Most Relevant Information
Provider Data
| NPI Number: | 1003257098 |
| Provider Name: | RENEE WOOTEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2013 |
| Last Updated: | 07/08/2013 |
Provider Practice Location
4295 BROCKTON AVE
RIVERSIDE
CA
925013446
Practice Location Phone/Fax
| Phone: | 9513413786 |
| Fax: | 9513415316 |
Provider Mailing Location
5870 ARLINGTON AVE
SUITE #103
RIVERSIDE
CA
925042037
Provider Mailing Phone/Fax
| Phone: | 9516836596 |
| Fax: | 9516834239 |