Doctor Name: | SHARELL WARREN |
NPI Number: | 1114288164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | 70600 |
Business Practice Address: | 1799 Stumpf Blvd Terrytown, LA - 700563950 |
Business Phone Number: | 5043676888 |
Business Fax Number: | |
Mailing Address: | Po Box 685, SAINT ROSE |
State: | LA |
Postal Code: | 700870685 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 03/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 70600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |