| Doctor Name: | JENNIFER VARLEY |
| NPI Number: | 1043610751 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 28841 |
| Business Practice Address: | 2575 33rd St - Apt A6 Astoria, NY - 111023328 |
| Business Phone Number: | 6318064298 |
| Business Fax Number: | |
| Mailing Address: | 2575 33rd St Apt A6, ASTORIA |
| State: | NY |
| Postal Code: | 111021224 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2014 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 28841 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |