Provider Demographics
NPI:1063219780
Name:WARN, ALICIA M (AMFT, APCC)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:M
Last Name:WARN
Suffix:
Gender:
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 E 10TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-4063
Mailing Address - Country:US
Mailing Address - Phone:209-666-1003
Mailing Address - Fax:
Practice Address - Street 1:35 E 10TH ST STE A
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4063
Practice Address - Country:US
Practice Address - Phone:209-666-1003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist