| Renovo Counseling | |
|
510 W 40th St Marion IN 46953-4946 | |
| (765) 398-3879 | |
| (765) 677-9240 |
| Full Name | Renovo Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 510 W 40th St, Marion, Indiana |
| Authorized Official Name and Position | Gary Martens (CO-OWNER) |
| Authorized Official Contact | 7653983879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovo Counseling 510 W 40th St Marion IN 46953-4946 Ph: (765) 398-3879 | Renovo Counseling 510 W 40th St Marion IN 46953-4946 Ph: (765) 398-3879 |
| NPI Number | 1952721540 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952721540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39001192A (Indiana) | Secondary |
| 106H00000X | Marriage & Family Therapist | 35001718A (Indiana) | Primary |
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