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Carol Renninger, LISW
Mental Health Counselor in T Or C, New Mexico
NPI 1023001013

Carol Renninger is a Mental Health Counselor based in Hatch, NM and is specialized in Mental Health. Carol Renninger practices in T Or C, NM and has the professional credentials of LISW. The NPI Number for Carol Renninger is 1023001013 and holds a License No. I05359 (New Mexico).

The current practice location address for Carol Renninger is 1960 N Date St, T Or C, NM and can be reached out via phone at 505-267-3088 and via fax at 505-267-1747.

Location: 1960 N Date St, T Or C, NM, 87937-0370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023001013
Provider Name
Carol Renninger
Credential
LISW
Provider Entity Type
Individual
Gender
Female
Address
1960 N Date St, T Or C, NM, 87937-0370
Phone Number
505-267-3088
Fax Number
505-267-1747
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92320848 05 NM
institution
Provider Business Practice Location Address Details
Address
1960 N Date St
City
T Or C
State
New Mexico
Zip
87901-3701
Phone Number
505-267-3088
Fax Number
505-267-1747
person
Provider Business Mailing Address Details
Address
1960 N Date St
City
T Or C
State
New Mexico
Zip
87901-3701
Phone Number
505-267-3088
Fax Number
505-267-1747
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
I05359 (New Mexico)
Definition
Definition to come...
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