person
Mr. Darrell T House, LADAC
Addiction (Substance Use Disorder) Counselor in Winslow, Arizona
NPI 1396065488

Darrell T House is an Addiction (Substance Use Disorder) Counselor based in Winslow, AZ and is specialized in Addiction (Substance Use Disorder). Darrell T House practices in Winslow, AZ and has the professional credentials of LADAC. The NPI Number for Darrell T House is 1396065488 and holds a License No. 0132471 (Arizona).

The current practice location address for Darrell T House is 500 N. Indiana Avenue, Winslow, AZ and can be reached out via phone at 928-289-4646 and via fax at 928-289-6225.

Location: 500 N. Indiana Avenue, Winslow, AZ, 86047-1269
person
Provider Profile Details
NPI Number
1396065488
Provider Name
Darrell T House
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
500 N. Indiana Avenue, Winslow, AZ, 86047-1269
Phone Number
928-289-4646
Fax Number
928-289-6225
Provider Enumeration Date
06/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0132471 01 NM LADAC
institution
Provider Business Practice Location Address Details
Address
500 N. Indiana Avenue
City
State
Zip
86047-1269
Phone Number
928-289-4646
Fax Number
928-289-6225
person
Provider Business Mailing Address Details
Address
500 N. Indiana Avenue
City
State
Zip
86047-1269
Phone Number
928-289-4646
Fax Number
928-289-6225
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0132471 (New Mexico)
Definition
Definition to come...
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