MEDICARE: ARIANA LUCERO VARELA

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	101YM0800X	Mental Health Counselor		MN

General Provider Information

NPI Number	:	1164394862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA LUCERO VARELA

Provider Business Mailing Address
First Line	:	3034 KNOX AVE S APT 2
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2598
Country	:	US
Telephone Number	:	612-432-3947
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 ASBURY ST STE 202
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-1850
Country	:	US
Telephone Number	:	612-432-3947
Fax Number	:

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

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “ ARIANA LUCERO VARELA ” Practice Location

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