Provider Demographics
NPI:1477746287
Name:VARLEY, DENETTE T (LMFT, LSAA)
Entity type:Individual
Prefix:MRS
First Name:DENETTE
Middle Name:T
Last Name:VARLEY
Suffix:
Gender:F
Credentials:LMFT, LSAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9901 CODA PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3506
Mailing Address - Country:US
Mailing Address - Phone:505-301-6857
Mailing Address - Fax:
Practice Address - Street 1:9901 CODA PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3506
Practice Address - Country:US
Practice Address - Phone:505-301-6857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0102131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health