Organization
REJUVENATE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY ELEANOR RENANDO LPCC (CEO/THERAPIST)
(612) 524-9818
Entity
Organization
Contact information
Practice address
12390 SHERBURNE AVE # 110, BECKER, MN 55308-9147
(612) 524-9818
Mailing address
12390 SHERBURNE AVE # 110, BECKER, MN 55308-9147
(612) 524-9818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/06/2021
Last updated
05/06/2021
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