Individual
MICHELLE RENEA BERENDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 WAVELAND AVE, WINCHESTER, KY 40391-1231
(859) 385-4669
(614) 227-9447
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(614) 487-8758
(614) 227-9447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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