Individual
DONNA ANN RENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
215 W ELM ST, SUITE 103, SYCAMORE, IL 60178-1862
(815) 766-2740
(630) 790-1364
Mailing address
621 LINDEN ST, GLEN ELLYN, IL 60137-4112
(708) 769-1547
(630) 790-1364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
180006436
IL
101YP2500X
Professional Counselor
Primary
180006436
IL
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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