Provider Demographics
NPI:1295971729
Name:WARWICK, IRENE BJORG (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:BJORG
Last Name:WARWICK
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Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4720 S HARVARD AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3048
Mailing Address - Country:US
Mailing Address - Phone:918-748-9868
Mailing Address - Fax:918-748-9835
Practice Address - Street 1:4720 S HARVARD AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3048
Practice Address - Country:US
Practice Address - Phone:918-748-9868
Practice Address - Fax:918-748-9835
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK1549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional