Warren, Timothy

Warren, Timothy is an individual health care provider with primary practice located at 801 Robertson Ave , Worland WY 82401-2717. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Warren, Timothy can be contacted via phone (402) 707-7924.

Contact Information

Primary practice address
801 Robertson Ave Worland WY 82401-2717
Phone: (402) 707-7924
Fax: (402) 707-7924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PPC-592 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-1317 Wyoming

Profile Details

NPI number 1073807038
LBN Legal business name Warren, Timothy
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2011
Last updated Dec 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073807038 NPPES
Wyoming MEDICAID 106352907
Wyoming MEDICAID 106352908

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