Doctor Name: | MRS. ELIZABETH WARNER |
NPI Number: | 1295724672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LCPC |
License Number: | |
Business Practice Address: | 7 Glen Ed Professional Park Glen Carbon, IL - 620343333 |
Business Phone Number: | 6186920336 |
Business Fax Number: | 6186920353 |
Mailing Address: | 7 Glen Ed Professional Park, GLEN CARBON |
State: | IL |
Postal Code: | 620343333 |
Phone Number: | 6186920336 |
Fax Number: | 6186920353 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |