Doctor Name: | LEA ANNE VARBLE |
NPI Number: | 1023415213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.012400 |
Business Practice Address: | 815 E 5th St Suite 101 Alton, IL - 620026471 |
Business Phone Number: | 6184635278 |
Business Fax Number: | 6184746242 |
Mailing Address: | 1 Saint Anthonys Way, ALTON |
State: | IL |
Postal Code: | 620024568 |
Phone Number: | 6184635730 |
Fax Number: | 6184651355 |
NPI Enumeration Date: | 12/03/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.012400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |