Individual
DARREN DUNAHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, MSW, LCSW
Contact information
Practice address
2921 MARYVILLE RD STE B, MARYVILLE, IL 62062-5400
(618) 484-9337
(618) 484-9353
Mailing address
1289 CEDAR CREEK LN, CENTRALIA, IL 62801-9013
(618) 315-2770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.014518
STATE LICENSE NUMBER
IL
Enumeration date
10/23/2013
Last updated
10/15/2024
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