Individual provider · Type 1 NPI

Miranda M. Renner, SAC-IT

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1114630084 Active

Practice location

3301 N Ballard Rd Ste B
Appleton, WI 54911-9002

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20113-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114630084

Miranda M. Renner, SAC-IT's National Provider Identifier is 1114630084, issued on Jan 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Jan 5, 2023.