# MR. MARK J. RENNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609950211
- **Gender:** Man
- **Credential:** MS. LMHP, CPC, LIMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 1320 | NE | — |
| 101Y00000X | Counselor | 2401 | NE | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 677 | NE | — |
| 101YM0800X | Mental Health Counselor | 677 | NE | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/20/2011