Provider Demographics
NPI:1104459635
Name:VARNER, JARON
Entity type:Individual
Prefix:MR
First Name:JARON
Middle Name:
Last Name:VARNER
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RON
Other - Middle Name:
Other - Last Name:VARNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2401 HIGHWAY 6 E APT 18112
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6854
Mailing Address - Country:US
Mailing Address - Phone:319-569-9214
Mailing Address - Fax:
Practice Address - Street 1:18977 W 10 MILE RD STE 100A
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2627
Practice Address - Country:US
Practice Address - Phone:319-569-9214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health