Individual
PATRICK K VARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MS, LAC, LASAC
Contact information
Practice address
4539 N 22ND ST STE 204, PHOENIX, AZ 85016-4661
(602) 628-8791
Mailing address
4539 N 22ND ST STE 204, PHOENIX, AZ 85016-4661
(602) 628-8791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-155282
AZ
101YP2500X
Professional Counselor
LAC-20776
AZ
Other
Enumeration date
01/31/2021
Last updated
12/04/2023
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