Provider Demographics
NPI:1942758834
Name:VARNER, KEVIN EUGENE (NCC, LPCA)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:EUGENE
Last Name:VARNER
Suffix:
Gender:M
Credentials:NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6250 NILE PL APT C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-2279
Mailing Address - Country:US
Mailing Address - Phone:336-338-5511
Mailing Address - Fax:
Practice Address - Street 1:6250 NILE PL APT C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-2279
Practice Address - Country:US
Practice Address - Phone:336-338-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health