Theodore Johnathan Renard, LADC-I
NPI #1801594528 in Marblehead, Massachusetts
Provider Information
- NPI Number
- 1801594528
- Entity Type
- Individual
- Name
- Theodore Johnathan Renard, LADC-I
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC-I
- Enumeration Date
- Feb 21, 2023
- Last Updated
- Feb 21, 2023
Practice Location
- Address
- 118 PLEASANT ST STE 22B
- City
- Marblehead
- State
- Massachusetts
- ZIP Code
- 01945-2344
- Phone
- (617) 680-4094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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