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General NPI Number Information
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NPI Number | 1447751284
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Entity Type | Organization
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Legal Business Name | RENEW COUNSELING CONSULTING AND WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 371 HOES LN STE 200
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4143
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Country | US
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Telephone | 732-588-8740
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Fax | 855-240-7470
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Provider Business Mailing Address
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Address Line | PO BOX 753
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City | PISCATAWAY
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State | NJ
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Zip | 08855-0753
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Country | US
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Telephone | 732-588-8740
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Fax | 855-240-7470
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JENNIFER MCCLENDON
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Credential | LPC, LCPC, LCADC
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Telephone | 732-588-8740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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