Search › Massachusetts › 101YA0400X
Theodore Renard, LADC-I
NPI 1801594528 · on the registry since 2023
Practice
- Address
- 118 Pleasant St Ste 22b
Marblehead, MA 01945 - Phone
- (617) 680-4094
- Organisation at this address
- Z Israelian Lmhc Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts