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Mary Rennebohm
Counselor in Canby, Oregon
NPI 1912517459

Mary Rennebohm is a Counselor based in Canby, OR. Mary Rennebohm practices in Canby, OR. The NPI Number for Mary Rennebohm is 1912517459 and holds a License No. 527846 (Oregon).

The current practice location address for Mary Rennebohm is 703 Se 1St Ave, Canby, OR and can be reached out via phone at 503-266-7686 and via fax at 503-266-7382.

Location: 703 Se 1St Ave, Canby, OR, 97013-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912517459
Provider Name
Mary Rennebohm
Credential
Provider Entity Type
Individual
Gender
Female
Address
703 Se 1St Ave, Canby, OR, 97013-3849
Phone Number
503-266-7686
Fax Number
503-266-7382
Provider Enumeration Date
08/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
703 Se 1St Ave
City
Canby
State
Oregon
Zip
97013-3849
Phone Number
503-266-7686
Fax Number
503-266-7382
person
Provider Business Mailing Address Details
Address
703 Se 1St Ave
City
Canby
State
Oregon
Zip
97013-3849
Phone Number
503-266-7686
Fax Number
503-266-7382
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
527846 (Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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