Provider Demographics
NPI:1134614308
Name:WARNICK, PAULA (CACII)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:WARNICK
Suffix:
Gender:F
Credentials:CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1591 CHAMBERS RD STE E
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-5920
Mailing Address - Country:US
Mailing Address - Phone:303-340-8990
Mailing Address - Fax:
Practice Address - Street 1:1591 CHAMBERS RD STE E
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5920
Practice Address - Country:US
Practice Address - Phone:303-340-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACB.0007820101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
COACB.0007820OtherDORA