THEODORE JOHNATHAN RENARD

MARBLEHEAD, MA
NPI1801594528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  16000)
Enumeration Date2023-02-21
Last Update Date2023-02-21
Business Address
THEODORE JOHNATHAN RENARD LADC-I
118 PLEASANT ST STE 22B
MARBLEHEAD, MA 01945-2344
Phone number: 617-680-4094
Mailing Address
THEODORE JOHNATHAN RENARD LADC-I
21 PORTLAND ST APT 2
LYNN, MA 01902-3271
Phone number: 617-680-4094
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