Individual
MICHELLE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
315 N LAKEMONT AVE STE B, B, WINTER PARK, FL 32792-3205
(407) 830-6412
Mailing address
315 N LAKEMONT AVE STE B, B, WINTER PARK, FL 32792-3205
(407) 830-6412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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