Individual
LORI ANN RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
29000 US HIGHWAY 98 STE A102, DAPHNE, AL 36526-7203
(251) 626-5797
(251) 626-5798
Mailing address
108 BIENVILLE AVE, MOBILE, AL 36606-1407
(251) 586-5253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4711C
AL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/31/2019
Last updated
02/20/2024
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