Provider Demographics
NPI:1932819091
Name:WARNE, VALERIE ILENE (MA LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ILENE
Last Name:WARNE
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:MI
Mailing Address - Zip Code:49615-9372
Mailing Address - Country:US
Mailing Address - Phone:989-506-7173
Mailing Address - Fax:
Practice Address - Street 1:4132 MAPLE LN
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:MI
Practice Address - Zip Code:49615-9372
Practice Address - Country:US
Practice Address - Phone:989-506-7173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005875101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional