Healthcare Provider Details

I. General information

NPI: 1457965212
Provider Name (Legal Business Name): MARIEKE RENNER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIEKE BROWN

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 SE TECH CENTER PL STE 180
VANCOUVER WA
98683-5518
US

IV. Provider business mailing address

5514 SE MALDEN ST
PORTLAND OR
97206-9065
US

V. Phone/Fax

Practice location:
  • Phone: 360-619-2226
  • Fax:
Mailing address:
  • Phone: 360-936-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61344864
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: