| Doctor Name: | SALLY J. WARNICK |
| NPI Number: | 1356420236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.I.S.W. |
| License Number: | I-4486 |
| Business Practice Address: | Northstar Plaza State Hwy 522 Suite 67a El Prado, NM - 87529 |
| Business Phone Number: | 5057790738 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2629, TAOS |
| State: | NM |
| Postal Code: | 875712629 |
| Phone Number: | 5057790738 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | I-4486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |