DR. CHANTRELLE DERON VARNADO-JOHNSON PHD, LPC-S., NCC
NPI 1023387925
Counselor - Professional in Thibodaux, LA
Active since December 21, 2011
About Dr. Chantrelle Deron Varnado-johnson Phd, Lpc-s., Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHANTRELLE DERON VARNADO-JOHNSON PHD, LPC-S., NCC (NPI 1023387925) is an individual professional provider in Thibodaux, Louisiana, licensed in Louisiana (3895) and active in the NPI registry since December 2011.
NPPES Registry Identity
NPI1023387925
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CHANTRELLE DERON VARNADO-JOHNSONCredential: PHD, LPC-S., NCC
Location Address906 EAST 1ST STRETThibodaux, LA 70310-5848
Mailing AddressPo Box 2075 Dept Of Psychology Counseling & FamilyThibodaux, LA 70310-0001 · (985) 448-4349 · Fax (854) 484-4435
Phone(985) 448-4349
Fax(985) 448-4435
Sole ProprietorNo
Enumeration DateDecember 21, 2011
Last NPPES UpdateJanuary 7, 2019
✔ NPI 1023387925 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 3895
906 EAST 1ST STRET, Thibodaux, LA 70310
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023387925, enumerated as an "individual" on December 21, 2011.
The provider is located at 906 EAST 1ST STRET THIBODAUX, LA 70310 and the phone number is (985) 448-4349.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
