MR. Darrell T House, LADAC

NPI #1396065488 in Winslow, Arizona

Provider Information

NPI Number
1396065488
Entity Type
Individual
Name
MR. Darrell T House, LADAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADAC
Enumeration Date
Jun 11, 2010
Last Updated
Jun 11, 2010

Practice Location

Address
500 N. INDIANA AVENUE
State
Arizona
ZIP Code
86047-1269
Phone
(928) 289-4646

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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