Provider Demographics
NPI:1063748648
Name:AULENBACH, RENEE L (MA, LPC)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:L
Last Name:AULENBACH
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 WESTVIEW DR STE J
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1187
Mailing Address - Country:US
Mailing Address - Phone:610-858-5542
Mailing Address - Fax:
Practice Address - Street 1:2650 WESTVIEW DR STE J
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1187
Practice Address - Country:US
Practice Address - Phone:610-858-5542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005314101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional