Individual
MR. PETER JOHN RENNICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2101 E BROADWAY RD, TEMPE, AZ 85282-1879
(602) 306-0110
(480) 921-0307
Mailing address
325 W LA JOLLA DR, TEMPE, AZ 85282-4805
(602) 306-0110
(480) 921-0307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1067
AZ
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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