Provider Demographics
NPI:1013805662
Name:RENNE, CHELSEA MARIE (MSE, NCC, LPC-IT)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MARIE
Last Name:RENNE
Suffix:
Gender:F
Credentials:MSE, NCC, LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143-3920
Mailing Address - Country:US
Mailing Address - Phone:715-732-6868
Mailing Address - Fax:
Practice Address - Street 1:N1384 STATE HIGHWAY M35
Practice Address - Street 2:
Practice Address - City:MENOMINEE
Practice Address - State:MI
Practice Address - Zip Code:49858-9534
Practice Address - Country:US
Practice Address - Phone:920-660-9215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8472226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty