Healthcare Provider Details

I. General information

NPI: 1699490011
Provider Name (Legal Business Name): MRS. DAWNISHA M VARNUM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2022
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 W CECIL AVE
DELANO CA
93215-1821
US

IV. Provider business mailing address

3000 W CECIL AVE
DELANO CA
93215-1821
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-6300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20964
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20964
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: