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

Theodore Johnathan Renard, LADC-I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801594528

Theodore Johnathan Renard, LADC-I is an Addiction (Substance Use Disorder) Counselor in Marblehead, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023

Practice location Address checks out

118 Pleasant St Ste 22B
Marblehead, MA 01945-2344
Phone: (617) 680-4094
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 16000 (MA)

Record details

NPI number1801594528
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC-I
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESFebruary 21, 2023
Certification dateDecember 29, 2022

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