Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00546200 | NJ |
NPI | 1982363594 |
---|---|
Provider Name | Robert S Varnay |
First Address | Sparta, NJ 07871 |
Second Address | Sparta, NJ 07871 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2021 |
Last Update Date | 17/12/2021 |