Organization
JEFFREY M WARREN
Active
Other names
Jeffrey M Warren & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M WARREN MS, NCC, LPC (CLINICAL SUPERVISOR)
(919) 497-7892
Entity
Organization
Contact information
Practice address
3749 BENSON DR, STE A, RALEIGH, NC 27609-7324
(919) 497-7892
(919) 324-3551
Mailing address
936 CORAL BELL DR, WAKE FOREST, NC 27587-4396
(919) 497-7892
(919) 324-3551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6527
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103542
—
NC
Enumeration date
01/15/2010
Last updated
01/15/2010
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