MEDICARE: MR. RAY A. VARLINSKY MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC31710	CA

General Provider Information

NPI Number	:	1003986951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAY A. VARLINSKY MFT

Provider Business Mailing Address
First Line	:	3691 HONEY RUN RD
Second Line	:
City	:	PARADISE
State	:	CA
Zip	:	95969-4907
Country	:	US
Telephone Number	:	530-872-9602
Fax Number	:	530-872-9602

Provider Business Practice Location Address
First Line	:	1405 MAGNOLIA AVE
Second Line	:	SUITE B
City	:	CHICO
State	:	CA
Zip	:	95926
Country	:	US
Telephone Number	:	530-894-3330
Fax Number	:	530-894-1770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/08/2007

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