Provider Demographics
NPI:1649451485
Name:VARLEY, TANYA R (LCPC)
Entity type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:R
Last Name:VARLEY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:TANYA
Other - Middle Name:R
Other - Last Name:MUNDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3425 URBANA PIKE
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7772
Mailing Address - Country:US
Mailing Address - Phone:240-429-2255
Mailing Address - Fax:
Practice Address - Street 1:3425 URBANA PIKE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7772
Practice Address - Country:US
Practice Address - Phone:240-429-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional