Individual
MICHAEL WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS,MA,ID
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
(606) 528-5401
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
(606) 528-7010
(606) 528-5401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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