Most Relevant Information
Provider Data
| NPI Number: | 1003390790 |
| Provider Name: | KEITH L WARREN CDCA II |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 161965 |
Most Important Dates
| Enumeration Date: | 09/19/2018 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
7400 HUNTINGTON DR
7400 HUNTINGTON DR
COLUMBUS
OH
43235
Practice Location Phone/Fax
| Phone: | 6145050378 |
| Fax: |
Provider Mailing Location
1813 WATERTOWER DR
COLUMBUS
OH
432355983
Provider Mailing Phone/Fax
| Phone: | 6146681063 |
| Fax: |