Provider Demographics
NPI:1295320315
Name:WARREN, ISABELLE ROSE
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:ROSE
Last Name:WARREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 CARESWELL ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-4228
Mailing Address - Country:US
Mailing Address - Phone:339-309-9314
Mailing Address - Fax:
Practice Address - Street 1:528 CARESWELL ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-4228
Practice Address - Country:US
Practice Address - Phone:339-309-9314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health