Provider Demographics
NPI:1902157555
Name:WARNER, JAMES PHILIP (LPC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PHILIP
Last Name:WARNER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 TIMBERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-4416
Mailing Address - Country:US
Mailing Address - Phone:973-222-3833
Mailing Address - Fax:
Practice Address - Street 1:9 TIMBERVIEW DR
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-4416
Practice Address - Country:US
Practice Address - Phone:973-222-3833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-23
Last Update Date:2012-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00428200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist