| Doctor Name: | THOMAS NATHANIEL WARREN |
| NPI Number: | 1013057298 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., L.P.C, N.C.C. |
| License Number: | 4387 |
| Business Practice Address: | 852 Country Club Rd Rocky Mount, NC - 278041706 |
| Business Phone Number: | 2529378304 |
| Business Fax Number: | 2529375520 |
| Mailing Address: | 3598 Carriage Farm Rd, ROCKY MOUNT |
| State: | NC |
| Postal Code: | 278048244 |
| Phone Number: | 2529378304 |
| Fax Number: | 2529375520 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |