Individual
DR. DARRELL HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAADC ICADC CADC-II
Contact information
Practice address
4524 LEE ST, CARROLLTON, TX 75010-4157
(972) 741-3760
Mailing address
PO BOX 700874, DALLAS, TX 75370-0874
(469) 289-8077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A07240315
CA
Other
Enumeration date
03/11/2015
Last updated
06/05/2015
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