Individual provider · Type 1 NPI

Zakery R. Warren, LCPC4472

Mental Health Counselor · Ammon, ID

NPI number 1053597344 Active

Practice location

2705 E 17th St Ste A
Ammon, ID 83406-6601

Call (208) 346-7500 Map

Fax (208) 346-7501

Mailing address

2705 E 17th St
Ammon, ID 83406-6601

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4472 (ID)
Clinical Social Worker 1041C0700XLPC3960 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1053597344

Zakery R. Warren, LCPC4472's National Provider Identifier is 1053597344, issued on Jan 16, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ammon, ID. The record was last updated on Feb 15, 2019.