Individual
ERIC DEAN RENSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LCSW
Contact information
Practice address
115 N COLLEGE AVE, SUITE 113, BLOOMINGTON, IN 47404-3972
(812) 335-4147
Mailing address
115 N COLLEGE AVE, SUITE 113, BLOOMINGTON, IN 47404-3972
(812) 335-4147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34002812
IN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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