Individual
MR. IRELL T. WARREN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 TULANE AVE STE 300, NEW ORLEANS, LA 70119-7499
(504) 570-6120
Mailing address
2532 WHIPPLETREE DR, HARVEY, LA 70058-5001
(504) 234-6417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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