MEDICARE: DR. VALERIE ANN WARREN PSY.D, LPC, NCC

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	101YM0800X	Mental Health Counselor	378	AK

General Provider Information

NPI Number	:	1316130644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE ANN WARREN PSY.D, LPC, NCC

Provider Business Mailing Address
First Line	:	PO BOX 3492
Second Line	:
City	:	BETHEL
State	:	AK
Zip	:	99559-3492
Country	:	US
Telephone Number	:	907-545-1895
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 N GUNFLINT TRL
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99623-9310
Country	:	US
Telephone Number	:	907-545-1895
Fax Number	:

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

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	03/02/2015

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