Individual
LAKIMA EBONY VARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CASAC-T
Contact information
Practice address
16318 JAMAICA AVE STE 502, JAMAICA, NY 11432-4919
(718) 658-0010
Mailing address
16318 JAMAICA AVE STE 502, JAMAICA, NY 11432-4919
(718) 658-0010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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