Individual
JACQUE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 S 1ST AVE, YUMA, AZ 85364-4706
(928) 329-5855
(928) 329-5904
Mailing address
1595 S 1ST AVE, YUMA, AZ 85364-4706
(928) 329-5855
(928) 329-5904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
175T00000X
AZ
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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