Doctor Name: | JENNIFER VARNER |
NPI Number: | 1679998355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MRC, CRC, LPCA |
License Number: | 1838 |
Business Practice Address: | 495 Erlanger Rd Suite 102 Erlanger, KY - 410181468 |
Business Phone Number: | 8593601044 |
Business Fax Number: | 8593601045 |
Mailing Address: | 495 Erlanger Rd, Suite 102 ERLANGER |
State: | KY |
Postal Code: | 410181468 |
Phone Number: | 8593601044 |
Fax Number: | 8593601045 |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |