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General NPI Number Information
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NPI Number | 1205037132
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Entity Type | Organization
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Legal Business Name | VARNER COUNSELING, LLC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1111 S ORCHARD ST STE 156
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City | BOISE
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State | ID
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Zip | 83705-1963
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Country | US
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Telephone | 208-336-2308
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Fax | 208-336-2309
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Provider Business Mailing Address
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Address Line | 1111 S ORCHARD ST STE 156
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City | BOISE
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State | ID
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Zip | 83705-1963
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Country | US
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Telephone | 208-336-2308
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Fax | 208-336-2309
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. JENNIFER LORENA VARNER
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Credential | LCPC
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Telephone | 208-336-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCPC- 2754
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License Number State | ID
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