Individual provider · Type 1 NPI

Jenny Renville, DHA, MA, LCMHCA, NCC

Professional Counselor · Waxhaw, NC

NPI number 1124670500 Active

Practice location

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XA16484 (NC)
Mental Health Counselor 101YM0800X16481 (NC)
Mental Health Counselor 101YM0800XA16484 (NC)
Professional Counselor Primary 101YP2500XA16484 (NC)
Professional Counselor 101YP2500X11794 (SC)

Professional Counselor: Definition to come...

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About NPI 1124670500

Jenny Renville, DHA, MA, LCMHCA, NCC's National Provider Identifier is 1124670500, issued on Jul 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waxhaw, NC. The record was last updated on Apr 27, 2026.