MEDICARE: MR. HARRY WARNER LPCC-S

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	E.0800151-SUPV	OH

General Provider Information

NPI Number	:	1700173622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HARRY WARNER LPCC-S

Provider Business Mailing Address
First Line	:	3208 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1114
Country	:	US
Telephone Number	:	614-270-5873
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1114
Country	:	US
Telephone Number	:	614-270-5873
Fax Number	:

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

Provider Enumeration Date	:	06/29/2011
Last Update Date	:	01/14/2014

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