Basic Information
| Provider Information | |||||||||
| NPI: | 1386796647 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REMER | ||||||||
| FirstName: | LORRAINE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN, MFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 710 S BROADWAY | ||||||||
| Address2: | |||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945965294 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9252955473 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 710 SOUTH BROADWAY | ||||||||
| Address2: | KAISER MENTAL HEALTH | ||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94596 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9252955473 | ||||||||
| FaxNumber: | 9252955226 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 222918 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.