Individual provider · Type 1 NPI
Darrell T. House, LADAC
Addiction (Substance Use Disorder) Counselor · Winslow, AZ
NPI number
1396065488
Active
Practice location
500 N. Indiana Avenue
Winslow, AZ 86047-1269
Fax (928) 289-6225
Mailing address
500 N. Indiana Ave.
Winslow, AZ 86047-1269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0132471 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1396065488
Darrell T. House, LADAC's National Provider Identifier is 1396065488, issued on Jun 11, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winslow, AZ. The record was last updated on Jun 11, 2010.