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NPI Code Detail

MEDICARE: ADRIENNE WARREN LPC

MEDICARE:   ADRIENNE  WARREN  LPC
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
1101Y00000XCounselorLPC008620GA
2101YA0400XAddiction (Substance Use Disorder) CounselorLPC008620GA
3101YM0800XMental Health CounselorLPC008620GA
4101YP2500XProfessional CounselorLPC008620GA

General Provider Information

NPI Number : 1386198828
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE WARREN LPC
Provider Business Mailing Address
First Line : 2451 CUMBERLAND PKWY SE STE 3423
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6136
Country : US
Telephone Number : 678-631-6053
Fax Number :
Provider Business Practice Location Address
First Line : 2451 CUMBERLAND PKWY SE STE 3423
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6136
Country : US
Telephone Number : 678-631-6053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2016
Last Update Date : 10/20/2021

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