Provider Demographics
NPI:1760606297
Name:LOCKLIN, WARREN WILSON III (LPC LICENSED PROFESS)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:WILSON
Last Name:LOCKLIN
Suffix:III
Gender:M
Credentials:LPC LICENSED PROFESS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2264 WOODLEA DR EAST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695
Mailing Address - Country:US
Mailing Address - Phone:251-639-0455
Mailing Address - Fax:
Practice Address - Street 1:4367 DOWNTOWNER LOOP NORTH
Practice Address - Street 2:SUITE B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609
Practice Address - Country:US
Practice Address - Phone:251-316-3690
Practice Address - Fax:251-316-3690
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1414101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional