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Individual

MISS BRITTANY WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1130 VINE ST, NEW HAVEN, IL 62867-2048
(618) 384-6034
Mailing address
1130 VINE ST, NEW HAVEN, IL 62867-2048
(618) 384-6034

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.01046
IL
101YP2500X
Professional Counselor
Primary
180010146
IL
101YP2500X
Professional Counselor
18001046
IL

Other

Enumeration date
03/11/2016
Last updated
05/28/2024
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