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General NPI Number Information
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NPI Number | 1013805662
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Entity Type | Individual
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Provider Name | CHELSEA MARIE RENNE MSE, NCC, LPC-IT
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | N1384 STATE HIGHWAY M35
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City | MENOMINEE
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State | MI
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Zip | 49858-9534
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Country | US
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Telephone | 920-660-9215
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Fax |
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Provider Business Mailing Address
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Address Line | 1557 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3920
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Country | US
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Telephone | 715-732-6868
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8472226
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License Number State | WI
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