person
Lucianne W Warren, LCSW
Mental Health Counselor in Suffolk, Virginia
NPI 1063502060

Lucianne W Warren is a Mental Health Counselor based in Suffolk, VA and is specialized in Mental Health. Lucianne W Warren practices in Suffolk, VA and has the professional credentials of LCSW. The NPI Number for Lucianne W Warren is 1063502060 and holds a License No. 082-03-002 (Virginia).

The current practice location address for Lucianne W Warren is 5268 Godwin Blvd, Suffolk, VA and can be reached out via phone at 757-255-7117 and via fax at 757-255-7139.

Location: 5268 Godwin Blvd, Suffolk, VA, 23434-8135
person
Provider Profile Details
NPI Number
1063502060
Provider Name
Lucianne W Warren
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
5268 Godwin Blvd, Suffolk, VA, 23434-8135
Phone Number
757-255-7117
Fax Number
757-255-7139
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8904961 05 VA
8904987 05 VA
8905061 05 VA
320785 01 VA BC/BS
8904995 05 VA
270368 01 VA BC/BS
institution
Provider Business Practice Location Address Details
Address
5268 Godwin Blvd
City
State
Zip
23434-8135
Phone Number
757-255-7117
Fax Number
757-255-7139
person
Provider Business Mailing Address Details
Address
5268 Godwin Blvd
City
State
Zip
23434-8135
Phone Number
757-255-7117
Fax Number
757-255-7139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
082-03-002 (Virginia)
Definition
Definition to come...
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