Provider Demographics
NPI:1871623744
Name:VARNUM, DARCY JANE (MA, MFT)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:JANE
Last Name:VARNUM
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 COGGINS ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-5371
Mailing Address - Country:US
Mailing Address - Phone:530-515-1684
Mailing Address - Fax:
Practice Address - Street 1:1127 COGGINS ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-5371
Practice Address - Country:US
Practice Address - Phone:530-213-3403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health