Provider Demographics
NPI:1457376279
Name:VARSOS, JEAN M (MA, LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:M
Last Name:VARSOS
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9810 F.M. 1960 RD W.
Mailing Address - Street 2:STE. 280
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-540-1718
Mailing Address - Fax:281-319-4320
Practice Address - Street 1:9810 F.M. 1960 BYPASS W.
Practice Address - Street 2:STE. 280
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:281-540-1718
Practice Address - Fax:281-319-4320
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10495101Y00000X, 101YM0800X, 101YP2500X
TX3268106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist