Individual
DANIEL RENSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
16456 E C AVE, AUGUSTA, MI 49012-9340
(269) 888-4212
(269) 276-5290
Mailing address
515 E STOCKBRIDGE AVE, KALAMAZOO, MI 49001-2933
(269) 388-4875
(269) 276-5290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084943
MI
Other
Enumeration date
11/13/2006
Last updated
03/29/2024
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