Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Renteria

Individual provider Mental Health Counselor · NPI 1215512561

Kelly Renteria is a Mental Health Counselor in Crestline, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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Practice location Address checks out

24028 Lake Dr
Crestline, CA 92325
Phone: (909) 338-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1215512561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2021
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

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