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NPI Code Detail

MEDICARE: MRS. JOHANNA CHRISTIANNE VANRENTERGHEM LPCC

MEDICARE: MRS. JOHANNA CHRISTIANNE VANRENTERGHEM LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.0003615OH

General Provider Information

NPI Number : 1881939270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOHANNA CHRISTIANNE VANRENTERGHEM LPCC
Provider Business Mailing Address
First Line : 230 W SANDUSKY ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-3218
Country : US
Telephone Number : 419-423-7812
Fax Number :
Provider Business Practice Location Address
First Line : 230 W SANDUSKY ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-3218
Country : US
Telephone Number : 419-423-7812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2012
Last Update Date : 12/11/2012

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Directions to “ MRS. JOHANNA CHRISTIANNE VANRENTERGHEM LPCC” Practice Location

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