Provider Demographics
NPI:1720173446
Name:RENO-SMITH, DEBORAH S (MA)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:S
Last Name:RENO-SMITH
Suffix:
Gender:
Credentials:MA
Other - Prefix:MS
Other - First Name:DEBBIE
Other - Middle Name:S
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFC 47268
Mailing Address - Street 1:23761 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-3455
Mailing Address - Country:US
Mailing Address - Phone:760-885-7177
Mailing Address - Fax:
Practice Address - Street 1:23761 HAYES AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-3455
Practice Address - Country:US
Practice Address - Phone:760-885-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47268106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO116OtherLAC
CO2556OtherLPC
CA47268OtherMFC