Jamie Lynn Renard in Fond Du Lac - Addiction (substance Use Disorder)
Jamie Lynn Renard - NPI 1992960017
Jamie Lynn Renard is a Addiction (substance Use Disorder) in Fond Du Lac, Wisconsin. Jamie Lynn Renard practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jamie Lynn Renard is 1992960017. The last update date is 2016-05-24.
Jamie Lynn Renard's current location address is 23 W. Scott St., Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209260101 and fax number 9209260060. The mailing address for Jamie Lynn Renard is 23 W. Scott St., Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie Lynn Renard |
|---|---|
| Address | 23 W. Scott St., Fond Du Lac, Wisconsin |
| Phone Number | 9209260101 |
| Fax Number | 9209260060 |
| Sole Proprietor | N |
| Credentials | BS, CSAC |
NPI Number Detail
| NPI Number | 1992960017 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2016-05-24 |
Provider Mailing Address Detail
| Address | 23 W. Scott St. |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 54935 |
| Phone Number | 9209260101 |
| Fax Number | 9209260060 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15531130 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100013805 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jamie Lynn Renard?
The Jamie Lynn Renard has been issued the NPI (National Provider Identifier) 1992960017 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jamie Lynn Renard?
The Jamie Lynn Renard is situated at 23 W. Scott St., in the city of Fond Du Lac, state of WI, with the zip code 54935.
What is the Jamie Lynn Renard's specialty and taxonomy code?
The Jamie Lynn Renard's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When was the Jamie Lynn Renard's 1992960017 issued?
The Jamie Lynn Renard's 1992960017 was issued on 2008-07-29.
As of what date were the details related to Jamie Lynn Renard most recently updated or revised?
The information pertaining to Jamie Lynn Renard, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-24.
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