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Individual
MR. ANTHONY M RENELLO JR.
Active
Individual
MR. ANTHONY M RENELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC15189
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC15189
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084266
—
AZ
Enumeration date
05/31/2018
Last updated
07/21/2026
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