Healthcare Provider Details

I. General information

NPI: 1811337041
Provider Name (Legal Business Name): STEVEN L. WARNER L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: STEVE WARNER L.P.C.

II. Dates (important events)

Enumeration Date: 07/02/2013
Last Update Date: 07/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 S 2ND ST
MONTROSE CO
81401-4244
US

IV. Provider business mailing address

543 S 2ND ST
MONTROSE CO
81401-4244
US

V. Phone/Fax

Practice location:
  • Phone: 970-252-1586
  • Fax:
Mailing address:
  • Phone: 970-252-1586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number240
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: