MR. Zakery R Warren, LCPC4472

NPI #1053597344 in Ammon, Idaho

Provider Information

NPI Number: 1053597344
Entity Type: Individual
Name: MR. Zakery R Warren, LCPC4472
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCPC4472
Enumeration Date: Jan 16, 2008
Last Updated: Feb 15, 2019

Practice Location

Address: 2705 E 17TH ST STE A
City: Ammon
State: Idaho
ZIP Code: 83406-6601
Phone: (208) 346-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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