Individual
CHARLES RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3406 GLACIER HWY, JUNEAU, AK 99801-7251
(907) 463-3303
Mailing address
3406 GLACIER HWY, JUNEAU, AK 99801-7251
(907) 463-3303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2014
Last updated
04/22/2024
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