Warren, Jon M.

Warren, Jon M. is an individual health care provider with primary practice located at 224 Great Bridge Blvd. , Chesapeake VA 23320. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Warren, Jon M. can be contacted via phone (757) 547-9334.

Contact Information

Primary practice address
224 Great Bridge Blvd. Chesapeake VA 23320
Phone: (757) 547-9334
Fax: (757) 819-6292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710101681 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701004463 Virginia

Profile Details

NPI number 1265733091
LBN Legal business name Warren, Jon M.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2010
Last updated Sep 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265733091 NPPES
Virginia Other 1265733091 ANTHEM TRIGON
Virginia Other 0805277M ANTHEM TRIGON
Virginia MEDICAID 1265733091 ANTHEM TRIGON

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