Organization
CORE RENEWAL THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS DEAN MSW/LISW (OWNER)
(330) 540-0086
Entity
Organization
Contact information
Practice address
572 MAPLEWOOD AVE, STRUTHERS, OH 44471-1133
(330) 540-0086
Mailing address
572 MAPLEWOOD AVE, STRUTHERS, OH 44471-1133
(330) 540-0086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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