Doctor Name: | MR. FRANK ANTHONY WARREN |
NPI Number: | 1043414774 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2945 Mcmillan Ave Ste 136 San Luis Obispo, CA - 934016774 |
Business Phone Number: | 8057882055 |
Business Fax Number: | |
Mailing Address: | 1561 Tanglewood Dr, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934016037 |
Phone Number: | 8055459656 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |