Renner, Mark J.

Renner, Mark J. is an sole proprietor health care provider with primary practice located at 748 N Main St , Fremont NE 68025-5004. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Renner, Mark J. can be contacted via phone (402) 941-7016.

Contact Information

Primary practice address
748 N Main St Fremont NE 68025-5004
Phone: (402) 941-7016
Fax: (402) 941-7018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2401 Nebraska
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1320 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 677 Nebraska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 677 Nebraska

Profile Details

NPI number 1609950211
LBN Legal business name Renner, Mark J.
Credentials MS. LMHP, CPC, LIMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Apr 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609950211 NPPES
Nebraska MEDICAID 10025122100
Nebraska Other 10025816100

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