Individual
KATHRYN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
379 NEW MARKET BLVD STE 1, BOONE, NC 28607-3765
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2302
NC
Other
Enumeration date
02/26/2013
Last updated
01/22/2020
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