Doctor Name: | WILLIAM T WARREN |
NPI Number: | 1053625780 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 605 S 13th St Tecumseh, OK - 748734664 |
Business Phone Number: | 4055986190 |
Business Fax Number: | |
Mailing Address: | 605 S 13th St, TECUMSEH |
State: | OK |
Postal Code: | 748734664 |
Phone Number: | 4055986190 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2010 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |