Individual
VANESSA HOPE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAC
Contact information
Practice address
3452 PASCAGOULA ST STE 3, PASCAGOULA, MS 39567-3203
(228) 712-8024
Mailing address
860 E RIVER PL, JACKSON, MS 39202-3442
(228) 497-0690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/21/2018
Last updated
03/24/2020
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