Provider Demographics
NPI:1275890717
Name:VARNEY, JESSICA DANI (LPC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:DANI
Last Name:VARNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1869 E SELTICE WAY # 514
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7019
Mailing Address - Country:US
Mailing Address - Phone:509-723-7122
Mailing Address - Fax:888-388-1771
Practice Address - Street 1:601 E SELTICE WAY STE 6B
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-5337
Practice Address - Country:US
Practice Address - Phone:509-723-7122
Practice Address - Fax:888-388-1771
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-3932101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional