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Individual
J. DAVID RENOUF
Active
Individual
J. DAVID RENOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
167
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-74
HARVARD PILGRIM
NH
01
—
1039158
CIGNA
NH
01
—
1406518Y0NH01
BLUE CROSS
NH
05
—
3076144
—
NH
Enumeration date
11/30/2006
Last updated
08/14/2014
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