Individual
AMBER WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 LAKE WIRE DR, 250, LAKELAND, FL 33815-1519
(863) 937-9650
Mailing address
20 LAKE WIRE DR, 250, LAKELAND, FL 33815-1519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH12626
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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