MEDICARE: STEPHEN HAROLD WARNER LCPC

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	101YP2500X	Professional Counselor	LPC-5227	CO
2	101YP2500X	Professional Counselor	LPC-11387	AZ
3	101YP2500X	Professional Counselor	7269	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ACC-7095	OTHER	CO	CERTIFIED ADDICTIONS COUNSELOR III

General Provider Information

NPI Number	:	1215181037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN HAROLD WARNER LCPC

Provider Business Mailing Address
First Line	:	1720 10TH AVE S STE 4
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-2680
Country	:	US
Telephone Number	:	406-788-1465
Fax Number	:	877-808-2107

Provider Business Practice Location Address
First Line	:	3511 1ST AVE N STE 1
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3527
Country	:	US
Telephone Number	:	406-403-8531
Fax Number	:	866-666-2907

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

Provider Enumeration Date	:	11/06/2008
Last Update Date	:	12/06/2022

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Directions to “ STEPHEN HAROLD WARNER LCPC” Practice Location

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