Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda M Renner, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114630084

Miranda M Renner, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

3301 N Ballard Rd Ste B
Appleton, WI 54911-9002
Phone: (920) 733-4443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20113-130 (WI)

Record details

NPI number1114630084
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorYes
NPI enumeratedJanuary 5, 2023
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023
Mailing address3301 N Ballard Rd Ste B, Appleton, WI 54911-9002

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