Individual provider · Type 1 NPI
Theodore Johnathan Renard, LADC-I
Addiction (Substance Use Disorder) Counselor · Marblehead, MA
NPI number
1801594528
Active
Practice location
118 Pleasant St Ste 22B
Marblehead, MA 01945-2344
Mailing address
21 Portland St Apt 2
Lynn, MA 01902-3271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16000 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Marblehead
About NPI 1801594528
Theodore Johnathan Renard, LADC-I's National Provider Identifier is 1801594528, issued on Feb 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marblehead, MA. The record was last updated on Feb 21, 2023.