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Organization
RENOVO COUNSELING
Active
Organization
RENOVO COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MARTENS MA, LMFT (CO-OWNER)
(765) 398-3879
Entity
Organization
Contact information
Practice address
510 W 40TH ST, MARION, IN 46953-4946
(765) 398-3879
(765) 677-9240
Mailing address
510 W 40TH ST, MARION, IN 46953-4946
(765) 398-3879
(765) 677-9240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001192A
IN
106H00000X
Marriage & Family Therapist
Primary
35001718A
IN
Other
Enumeration date
04/22/2014
Last updated
03/26/2021
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