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

Nicole Renae, MFT

Individual provider Mental Health Counselor · NPI 1245652585

Nicole Renae, MFT is a Mental Health Counselor in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

7 4th St Ste 49
Petaluma, CA 94952-3043
Phone: (707) 347-9349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 45457 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPCC 654 (CA)

Record details

NPI number1245652585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedJanuary 6, 2014
Last updated in NPPESFebruary 11, 2022
Mailing address1527 Beaver St, Santa Rosa, CA 95404-2935

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