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Individual
MR. DARRELL T HOUSE
Active
Individual
MR. DARRELL T HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0132471
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132471
LADAC
NM
Enumeration date
06/11/2010
Last updated
06/11/2010
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