Provider Demographics
NPI:1679998355
Name:VARNER, JENNIFER (MRC, CRC, LPCA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:VARNER
Suffix:
Gender:F
Credentials:MRC, CRC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 ERLANGER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1468
Mailing Address - Country:US
Mailing Address - Phone:859-360-1044
Mailing Address - Fax:859-360-1045
Practice Address - Street 1:495 ERLANGER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1468
Practice Address - Country:US
Practice Address - Phone:859-360-1044
Practice Address - Fax:859-360-1045
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1838101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional