Provider Demographics
NPI:1972320950
Name:RENNINGER, MARGARET (LPC-IT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:RENNINGER
Suffix:
Gender:U
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BRUGGER PL
Mailing Address - Street 2:
Mailing Address - City:MCFARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-9658
Mailing Address - Country:US
Mailing Address - Phone:240-855-6865
Mailing Address - Fax:
Practice Address - Street 1:2984 TRIVERTON PIKE DR STE 101
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-5841
Practice Address - Country:US
Practice Address - Phone:608-201-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8067-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health