Individual provider · Type 1 NPI

Rena Beth Kornblum, MCAT, BC-DMT, DTRL

Mental Health Counselor · Madison, WI

NPI number 1386089555 Active

Practice location

16 N Hancock St
Madison, WI 53703-2802

Call (608) 251-0908 Map

Fax (608) 251-0939

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2-37 (WI)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1386089555

Rena Beth Kornblum, MCAT, BC-DMT, DTRL's National Provider Identifier is 1386089555, issued on May 1, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on May 1, 2013.