Individual
MICHAEL L. RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
1212 IVY AVE, STE 2, CRETE, NE 68333-2301
(402) 826-2000
(402) 826-2655
Mailing address
PO BOX 326, CRETE, NE 68333-0326
(402) 826-2000
(402) 826-2655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1020
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025207900
—
NE
05
—
10025208300
—
NE
05
—
47052851505
—
NE
05
—
47052851507
—
NE
05
—
47052851509
—
NE
05
—
47052851582
—
NE
Enumeration date
01/08/2009
Last updated
08/07/2012
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