person
Theodore Johnathan Renard, LADC-I
Addiction (Substance Use Disorder) Counselor in Marblehead, Massachusetts
NPI 1801594528

Theodore Johnathan Renard is an Addiction (Substance Use Disorder) Counselor based in Lynn, MA and is specialized in Addiction (Substance Use Disorder). Theodore Johnathan Renard practices in Marblehead, MA and has the professional credentials of LADC-I. The NPI Number for Theodore Johnathan Renard is 1801594528 and holds a License No. 16000 (Massachusetts).

The current practice location address for Theodore Johnathan Renard is 118 Pleasant St Ste 22B, Marblehead, MA and can be reached out via phone at 617-680-4094.

Location: 118 Pleasant St Ste 22B, Marblehead, MA, 01902-3271
person
Provider Profile Details
NPI Number
1801594528
Provider Name
Theodore Johnathan Renard
Credential
LADC-I
Provider Entity Type
Individual
Gender
Male
Address
118 Pleasant St Ste 22B, Marblehead, MA, 01902-3271
Phone Number
617-680-4094
Fax Number
Provider Enumeration Date
02/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
118 Pleasant St Ste 22B
City
State
Zip
01945-2344
Phone Number
617-680-4094
Fax Number
person
Provider Business Mailing Address Details
Address
118 Pleasant St Ste 22B
City
State
Zip
01945-2344
Phone Number
617-680-4094
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16000 (Massachusetts)
Definition
Definition to come...
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