Doctor Name: | DOUG WARNE |
NPI Number: | 1225102940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISW-S, LICDC, Q-SAP |
License Number: | DOT Q-SAP |
Business Practice Address: | 243 Kensington Pl Marion, OH - 433024428 |
Business Phone Number: | 7402257815 |
Business Fax Number: | 7403894223 |
Mailing Address: | 243 Kensington Pl, MARION |
State: | OH |
Postal Code: | 433024428 |
Phone Number: | 7402257815 |
Fax Number: | 7403894223 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | DOT Q-SAP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |