Individual
TIMOTHY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
801 ROBERTSON AVE, WORLAND, WY 82401-2717
(402) 707-7924
(402) 707-7924
Mailing address
1413 CHARLES AVE, WORLAND, WY 82401-4117
(402) 707-7924
(402) 707-7924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-592
WY
101YP2500X
Professional Counselor
Primary
LPC-1317
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106352907
—
WY
05
—
106352908
—
WY
Enumeration date
06/07/2011
Last updated
12/06/2013
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