Provider Demographics
NPI:1033965728
Name:VARNER, KIMBERLY (LPC-A)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:
Last Name:VARNER
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13026 PEREGRINE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-4670
Mailing Address - Country:US
Mailing Address - Phone:210-286-8487
Mailing Address - Fax:
Practice Address - Street 1:13026 PEREGRINE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-4670
Practice Address - Country:US
Practice Address - Phone:210-286-8487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional