Individual
MRS. CAROL ELIZABETH WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CMHS, MHP, RC
Contact information
Practice address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401
(206) 276-0883
Mailing address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401-4928
(206) 276-0883
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-19-001
OR
101YP2500X
Professional Counselor
RC00052955
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500757201
—
OR
Enumeration date
12/19/2006
Last updated
03/27/2019
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