person
Tracy Renderman, SAC,IDP
Addiction (Substance Use Disorder) Counselor in Wisconsin Rapids, Wisconsin
NPI 1205212453

Tracy Renderman is an Addiction (Substance Use Disorder) Counselor based in Wisconsin Rapids, WI and is specialized in Addiction (Substance Use Disorder). Tracy Renderman practices in Wisconsin Rapids, WI and has the professional credentials of SAC,IDP. The NPI Number for Tracy Renderman is 1205212453 and holds a License No. 101YA0400X (Wisconsin).

The current practice location address for Tracy Renderman is 2611 12Th St S, Wisconsin Rapids, WI and can be reached out via phone at 715-421-8869.

Location: 2611 12Th St S, Wisconsin Rapids, WI, 54494-6445
person
Provider Profile Details
NPI Number
1205212453
Provider Name
Tracy Renderman
Credential
SAC,IDP
Provider Entity Type
Individual
Gender
Female
Address
2611 12Th St S, Wisconsin Rapids, WI, 54494-6445
Phone Number
715-421-8869
Fax Number
Provider Enumeration Date
08/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2611 12Th St S
City
State
Zip
54494-6445
Phone Number
715-421-8869
Fax Number
person
Provider Business Mailing Address Details
Address
2611 12Th St S
City
State
Zip
54494-6445
Phone Number
715-421-8869
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
101YA0400X ()
Definition
Definition to come...
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