Individual provider · Type 1 NPI

Matthew Renken, LADC

Professional Counselor · Fridley, MN

NPI number 1689147654 Active

Practice location

520 Osborne Rd NE Ste 210
Fridley, MN 55432-2718

Call (763) 236-3800 Map

Fax (763) 236-3821

Mailing address

PO Box 206
Minneapolis, MN 55480-0206

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4234 (MN)

Professional Counselor: Definition to come...

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About NPI 1689147654

Matthew Renken, LADC's National Provider Identifier is 1689147654, issued on Jan 2, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fridley, MN. The record was last updated on Apr 1, 2025.