Provider Demographics
NPI:1710101126
Name:TUNKEL, RENEE H (LMFT)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:H
Last Name:TUNKEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 GREENHILL RD
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3405
Mailing Address - Country:US
Mailing Address - Phone:831-325-7663
Mailing Address - Fax:
Practice Address - Street 1:901 GREENHILL RD
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3405
Practice Address - Country:US
Practice Address - Phone:831-325-7663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA49316101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health