Individual
CARL RENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
100 ELMWOOD PARK DR STE 201, DAYTON, OH 45449-5402
(937) 384-0580
Mailing address
100 ELMWOOD PARK DR STE 201, DAYTON, OH 45449-5402
(937) 384-0580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170950
OH
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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