Individual
DEON LAVELLE DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, CADC
Contact information
Practice address
2856 FOREHAND DR, CHESAPEAKE, VA 23323-2006
(757) 861-9020
Mailing address
2856 FOREHAND DR, CHESAPEAKE, VA 23323-2006
(757) 861-9020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102886
VA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0704013730
VA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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