Provider Demographics
NPI:1164801080
Name:VARNELL, JACI (LPC, PLLC)
Entity Type:Individual
Prefix:
First Name:JACI
Middle Name:
Last Name:VARNELL
Suffix:
Gender:F
Credentials:LPC, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 ELDORADO PKWY STE 302
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6199
Mailing Address - Country:US
Mailing Address - Phone:214-924-4511
Mailing Address - Fax:
Practice Address - Street 1:6401 ELDORADO PKWY STE 302
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6199
Practice Address - Country:US
Practice Address - Phone:214-924-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health