person
Ms. Rena Beth Kornblum, MCAT,BC-DMT,DTRL
Mental Health Counselor in Madison, Wisconsin
NPI 1386089555

Rena Beth Kornblum is a Mental Health Counselor based in Madison, WI and is specialized in Mental Health. Rena Beth Kornblum practices in Madison, WI and has the professional credentials of MCAT,BC-DMT,DTRL. The NPI Number for Rena Beth Kornblum is 1386089555 and holds a License No. 2-37 (Wisconsin).

The current practice location address for Rena Beth Kornblum is 16 N Hancock St, Madison, WI and can be reached out via phone at 608-251-0908 and via fax at 608-251-0939.

Location: 16 N Hancock St, Madison, WI, 53703-2802
person
Provider Profile Details
NPI Number
1386089555
Provider Name
Rena Beth Kornblum
Credential
MCAT,BC-DMT,DTRL
Provider Entity Type
Individual
Gender
Female
Address
16 N Hancock St, Madison, WI, 53703-2802
Phone Number
608-251-0908
Fax Number
608-251-0939
Provider Enumeration Date
05/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 N Hancock St
City
State
Zip
53703-2802
Phone Number
608-251-0908
Fax Number
608-251-0939
person
Provider Business Mailing Address Details
Address
16 N Hancock St
City
State
Zip
53703-2802
Phone Number
608-251-0908
Fax Number
608-251-0939
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2-37 (Wisconsin)
Definition
Definition to come...
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