person
Miranda M Renner, SAC-IT
Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin
NPI 1114630084

Miranda M Renner is an Addiction (Substance Use Disorder) Counselor based in Appleton, WI and is specialized in Addiction (Substance Use Disorder). Miranda M Renner practices in Appleton, WI and has the professional credentials of SAC-IT. The NPI Number for Miranda M Renner is 1114630084 and holds a License No. 20113-130 (Wisconsin).

The current practice location address for Miranda M Renner is 3301 N Ballard Rd Ste B, Appleton, WI and can be reached out via phone at 920-733-4443.

Location: 3301 N Ballard Rd Ste B, Appleton, WI, 54911-9002
person
Provider Profile Details
NPI Number
1114630084
Provider Name
Miranda M Renner
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
3301 N Ballard Rd Ste B, Appleton, WI, 54911-9002
Phone Number
920-733-4443
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3301 N Ballard Rd Ste B
City
State
Zip
54911-9002
Phone Number
920-733-4443
Fax Number
person
Provider Business Mailing Address Details
Address
3301 N Ballard Rd Ste B
City
State
Zip
54911-9002
Phone Number
920-733-4443
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20113-130 (Wisconsin)
Definition
Definition to come...
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