Individual
MRS. AMY L WARINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2445 NE DIVISION ST STE 204, BEND, OR 97703-3568
(541) 229-2099
Mailing address
2445 NE DIVISION ST STE 204, BEND, OR 97703-3568
(541) 668-4490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C6218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500725561
—
OR
Enumeration date
10/24/2016
Last updated
02/24/2022
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