Individual
DORENDA DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
374U00000X
Home Health Aide
—
FL
Other
Enumeration date
05/29/2019
Last updated
06/30/2024
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