Provider Demographics
NPI:1881061778
Name:VARELA, STEPHANIE M
Entity type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:M
Last Name:VARELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29916 CAMINO CRISTAL
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-8803
Mailing Address - Country:US
Mailing Address - Phone:951-553-8430
Mailing Address - Fax:
Practice Address - Street 1:29916 CAMINO CRISTAL
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-8803
Practice Address - Country:US
Practice Address - Phone:951-553-8430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health