Provider Demographics
NPI:1386736734
Name:WARN, CATHY MAE (MA, LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:MAE
Last Name:WARN
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 822
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29071-0822
Mailing Address - Country:US
Mailing Address - Phone:803-622-4995
Mailing Address - Fax:
Practice Address - Street 1:7435 MONTICELLO RD
Practice Address - Street 2:SCHUSTER BUILDING, 235
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29230-3122
Practice Address - Country:US
Practice Address - Phone:803-622-4995
Practice Address - Fax:803-996-0540
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4755101YP2500X
SC4508106H00000X
SC4535106H00000X
SC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional