Provider Demographics
NPI:1770643520
Name:WARNER, CAROL (MA)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 J W DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623-7739
Mailing Address - Country:US
Mailing Address - Phone:970-920-7683
Mailing Address - Fax:970-963-9411
Practice Address - Street 1:189 J W DR
Practice Address - Street 2:SUITE D
Practice Address - City:CARBONDALE
Practice Address - State:CO
Practice Address - Zip Code:81623-7739
Practice Address - Country:US
Practice Address - Phone:970-920-7683
Practice Address - Fax:970-963-9411
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO320106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist