Individual
JENNY RENVILLE
Active
Individual
JENNY RENVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHA, MA, LCMHCA, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A16484
NC
101YM0800X
Mental Health Counselor
16481
NC
101YM0800X
Mental Health Counselor
A16484
NC
101YP2500X
Professional Counselor
11794
SC
101YP2500X
Professional Counselor
Primary
A16484
NC
Other
Enumeration date
07/15/2019
Last updated
04/27/2026
Update your record
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