Provider Demographics
NPI:1740521434
Name:JOHNS VARELLA, CLARISSA (LCPC)
Entity type:Individual
Prefix:MS
First Name:CLARISSA
Middle Name:
Last Name:JOHNS VARELLA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 BELVIEU AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4217
Mailing Address - Country:US
Mailing Address - Phone:443-527-0501
Mailing Address - Fax:
Practice Address - Street 1:5906 PARK HEIGHTS AVE STE 107-13
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-3631
Practice Address - Country:US
Practice Address - Phone:443-527-0501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health