MEDICARE: JESSICA M. TREDINICK VARAS LPC

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	C3035	OR
2	101YM0800X	Mental Health Counselor	81016	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477890127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA M. TREDINICK VARAS LPC

Provider Business Mailing Address
First Line	:	3707 AUDLEY ST APT 12103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3038
Country	:	US
Telephone Number	:	832-478-8525
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 BISSONNET ST STE 270
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2192
Country	:	US
Telephone Number	:	832-478-8525
Fax Number	:

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

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	09/16/2020

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