Individual
MR. BRIAN WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5230 S WESTERN AVE, MARION, IN 46953-5778
(765) 674-2208
(765) 674-3273
Mailing address
5230 S WESTERN AVE, MARION, IN 46953-5778
(765) 674-2208
(765) 674-3273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003138A
IN
106H00000X
Marriage & Family Therapist
35000414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175675
BLUE CROSS BLUE SHIELD
IN
01
—
064055000
MAGELLAN
IN
05
—
100124010
—
IN
01
—
2009690
CIGNA BEHAVIORAL HEALTH
IN
01
—
7240183
AETNA
IN
Enumeration date
03/06/2007
Last updated
06/15/2016
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