Individual
MIRANDA LYNN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
111 POPLAR ST STE 104, MURRAY, KY 42071-2577
(270) 534-5128
Mailing address
111 POPLAR ST, MURRAY, KY 42071-2571
(270) 534-5128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
274418
KY
Other
Enumeration date
03/10/2022
Last updated
12/12/2022
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