Individual
JENNIFER T RENNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LADC
Contact information
Practice address
5223 GLENDALE ST, DULUTH, MN 55804-1110
(218) 591-5649
Mailing address
5223 GLENDALE ST, DULUTH, MN 55804-1110
(218) 591-5649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303519
MN
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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