Individual
LUCIANNE W WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8135
(757) 255-7117
(757) 255-7139
Mailing address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8135
(757) 255-7117
(757) 255-7139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
082-03-002
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270368
BC/BS
VA
01
—
320785
BC/BS
VA
05
—
8904961
—
VA
05
—
8904987
—
VA
05
—
8904995
—
VA
05
—
8905061
—
VA
Enumeration date
10/13/2006
Last updated
07/08/2007
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