MEDICARE: MRS. JOANNA FOUST WARREN MS, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	866	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063509495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANNA FOUST WARREN MS, LMFT

Provider Business Mailing Address
First Line	:	2207 DELANEY DR
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-5263
Country	:	US
Telephone Number	:	336-516-0438
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 DELANEY DR
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-5263
Country	:	US
Telephone Number	:	336-516-0438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	08/17/2011

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