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General NPI Number Information
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NPI Number | 1962266841
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Entity Type | Individual
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Provider Name | DEBORAH LAURENE WARNER LAC/LPC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 625 N GILBERT RD STE 204
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City | GILBERT
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State | AZ
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Zip | 85234-4724
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Country | US
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Telephone | 480-477-3203
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Fax |
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Provider Business Mailing Address
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Address Line | 118 W CALLE DE ARCOS
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City | TEMPE
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State | AZ
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Zip | 85284-3034
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Country | US
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Telephone | 301-706-4398
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LAC-19615
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License Number State | AZ
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