Individual
MS. TAMARA L WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC-S
Contact information
Practice address
1345 PLANTATION RD NE, ROANOKE, VA 24012-5712
(833) 510-4357
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709024524
VA
101YM0800X
Mental Health Counselor
0733002373
VA
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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