Individual
DARIUS BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A., CADAC II
Contact information
Practice address
1110 W 5TH AVE, GARY, IN 46402-1723
(219) 885-6424
Mailing address
1110 W 5TH AVE, GARY, IN 46402-1723
(219) 885-6424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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