Provider Demographics
NPI:1205037132
Name:VARNER COUNSELING, LLC
Entity Type:Organization
Organization Name:VARNER COUNSELING, LLC
Other - Org Name:ROCKY MOUNTAIN BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LORENA
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:208-336-2308
Mailing Address - Street 1:1111 S ORCHARD ST STE 156
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-1963
Mailing Address - Country:US
Mailing Address - Phone:208-336-2308
Mailing Address - Fax:208-336-2309
Practice Address - Street 1:1111 S ORCHARD ST STE 156
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1963
Practice Address - Country:US
Practice Address - Phone:208-336-2308
Practice Address - Fax:208-336-2309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC- 2754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty