Individual
GLENN HENERY RENAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RECOVERY COACH
Contact information
Practice address
6821 MEDBURY ST, DETROIT, MI 48211-3317
(313) 909-2816
(586) 983-9797
Mailing address
6821 MEDBURY ST, DETROIT, MI 48211-3317
(313) 909-2816
(586) 983-9797
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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