Individual provider · Type 1 NPI
Gwen Self Warren, L.P.C.
Professional Counselor · Shallowater, TX
NPI number
1669668596
Active
Practice location
1401 9th St
Shallowater, TX 79363-5127
Fax (806) 832-1336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 12031 (TX) |
Professional Counselor: Definition to come...
About NPI 1669668596
Gwen Self Warren, L.P.C.'s National Provider Identifier is 1669668596, issued on Sep 25, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shallowater, TX. The record was last updated on Sep 25, 2007.