Individual
SHAWNESE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
7065 FAIN PARK DR, MONTGOMERY, AL 36117-7862
(334) 647-1047
(256) 719-3252
Mailing address
PO BOX 201381, MONTGOMERY, AL 36120-1381
(334) 801-4664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
C4001
AL
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/09/2024
Last updated
07/10/2024
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