MEDICARE: CHRISTINE VARNADO 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	101YP2500X	Professional Counselor	5097	LA

General Provider Information

NPI Number	:	1770976045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE VARNADO LPC

Provider Business Mailing Address
First Line	:	26087 JUBAN RD STE D
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-6007
Country	:	US
Telephone Number	:	225-283-4595
Fax Number	:

Provider Business Practice Location Address
First Line	:	26087 JUBAN RD STE D
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-6007
Country	:	US
Telephone Number	:	225-283-4595
Fax Number	:

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

Provider Enumeration Date	:	03/11/2015
Last Update Date	:	09/13/2024

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