Individual
J. DAVID RENOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
250 COMMERCIAL STREET, SUITE 3004, MANCHESTER, NH 03101-1118
(603) 668-3050
(603) 668-8666
Mailing address
250 COMMERCIAL STREET, SUITE 3004, MANCHESTER, NH 03101-1118
(603) 668-3050
(603) 668-8666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
167
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-74
HARVARD PILGRIM
NH
01
—
1039158
CIGNA
NH
01
—
1406518Y0NH01
BLUE CROSS
NH
05
—
3076144
—
NH
Enumeration date
11/30/2006
Last updated
08/14/2014
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