Individual provider · Type 1 NPI

Theodore Renwick, CASAC-T

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1497045157 Active

Practice location

116 John St Fl 27
New York, NY 10038-3414

Call (212) 964-0128 Map

Fax (212) 964-0112

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25845 (NY)

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

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About NPI 1497045157

Theodore Renwick, CASAC-T's National Provider Identifier is 1497045157, issued on Apr 15, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Apr 15, 2011.