Gwen Self Warren, LPC is a
Counselor - Professional based in Shallowater, Texas. Gwen Self Warren is licensed to practice in Texas (license number 12031) and her current practice location is
1401 9th St, Shallowater, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 787-3686.
NPI number for Gwen Self Warren is 1669668596 and her current mailing address is 1401 9th St, Shallowater, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669668596.
Healthcare Provider's Profile
Full Name | Gwen Self Warren |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1401 9th St, Shallowater, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669668596
- Provider Enumeration Date: 09/25/2007
- Last Update Date: 09/25/2007
Medical Identifiers
Medical identifiers for Gwen Self Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669668596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 12031 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwen Self Warren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gwen Self Warren, LPC 1401 9th St, Shallowater, TX 79363-5127 Ph: (806) 787-3686 | Gwen Self Warren, LPC 1401 9th St, Shallowater, TX 79363-5127 Ph: (806) 787-3686 |
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