Provider Demographics
NPI:1861631988
Name:VARANO, DINA (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:VARANO
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:VARANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:819 E 64TH ST STE 234
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-6609
Mailing Address - Country:US
Mailing Address - Phone:317-590-5351
Mailing Address - Fax:
Practice Address - Street 1:819 E 64TH ST STE 234
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-6609
Practice Address - Country:US
Practice Address - Phone:317-590-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001539A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0007215555OtherAETNA
IN000000539961OtherANTHEM BLUE CROSS AND BLUE SHIELD