DARRELL T HOUSE

WINSLOW, AZ
NPI1396065488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0132471)
Enumeration Date2010-06-11
Last Update Date2010-06-11
Business Address
Mr. DARRELL T HOUSE LADAC
500 N. INDIANA AVENUE
WINSLOW, AZ 86047-1269
Phone number: 928-289-4646
Mailing Address
Mr. DARRELL T HOUSE LADAC
500 N. INDIANA AVE.
WINSLOW, AZ 86047-1269
Phone number: 928-289-4646
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