Organization
A RENEWED OUTLOOK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY RUSSELL MCCONNELL LISW-S (OWNER)
(567) 343-8743
Entity
Organization
Contact information
Practice address
3130 EXECUTIVE PKWY STE 2D, TOLEDO, OH 43606-5534
(567) 318-0795
Mailing address
3130 EXECUTIVE PKWY STE 2D, TOLEDO, OH 43606-5534
(567) 318-0795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790278422
—
OH
Enumeration date
11/13/2023
Last updated
11/13/2023
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