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Contact Information

SHAWNESE WARREN, ALC
7065 FAIN PARK DR
MONTGOMERY, AL36117-7862
 Phone: 334-647-1047
 Fax: 256-719-3252
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHAWNESE WARREN · (Female)

NPI # 1780421602
Status Active
Credentials ALC
Entity Individual
Enumeration date 07/09/2024
Last updated 07/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AL License # C4001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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