Most Relevant Information
Provider Data
| NPI Number: | 1003491622 |
| Provider Name: | RENEE DIONISIO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LAC-6765T |
Most Important Dates
| Enumeration Date: | 03/15/2021 |
| Last Updated: | 04/13/2021 |
Provider Practice Location
401 W BASELINE RD STE 210
TEMPE
AZ
852835350
Practice Location Phone/Fax
| Phone: | 4803076446 |
| Fax: |
Provider Mailing Location
3015 N SCOTTSDALE RD UNIT 3123
SCOTTSDALE
AZ
852517251
Provider Mailing Phone/Fax
| Phone: | 6302420474 |
| Fax: |