Provider Demographics
NPI:1821387507
Name:WARREN, KARRIE PATRICE WALTERS (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARRIE
Middle Name:PATRICE WALTERS
Last Name:WARREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KARRIE
Other - Middle Name:PATRICE
Other - Last Name:WALTERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:534 SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-3017
Mailing Address - Country:US
Mailing Address - Phone:541-729-3851
Mailing Address - Fax:
Practice Address - Street 1:3995 MARCOLA RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-7948
Practice Address - Country:US
Practice Address - Phone:541-729-3851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor