Individual
VALERIE A RENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1 STACKPOLE ROAD, MACHIAS, ME 04654
(207) 255-0996
Mailing address
PO BOX 139, MACHIAS, ME 04654-0139
(207) 255-0996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2699
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ME
Enumeration date
03/26/2007
Last updated
07/09/2007
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