Doctor Name: | MS. ANNE MORRIS WARREN |
NPI Number: | 1255574364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATRL-BC, PC |
License Number: | 94-036 |
Business Practice Address: | 5409 Everybody's Rd Crandon, WI - 54520 |
Business Phone Number: | 7154784332 |
Business Fax Number: | 7154784493 |
Mailing Address: | Po Box 396, CRANDON |
State: | WI |
Postal Code: | 545200396 |
Phone Number: | 7154784332 |
Fax Number: | 7154784493 |
NPI Enumeration Date: | 04/20/2009 |
NPI Last Update Date: | 04/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 94-036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |