Provider Demographics
NPI:1376285098
Name:RUMLER, RENEE LYNN
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNN
Last Name:RUMLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 18TH ST SW STE 2
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-3982
Mailing Address - Country:US
Mailing Address - Phone:507-774-0025
Mailing Address - Fax:507-413-0409
Practice Address - Street 1:1414 S OAK AVE
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-3900
Practice Address - Country:US
Practice Address - Phone:507-363-6336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC03874101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health