Individual
DARRYL LAMONT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 15TH ST SE, WASHINGTON, DC 20003-1519
(202) 459-9907
(202) 543-4579
Mailing address
124 15TH ST SE, WASHINGTON, DC 20003-1519
(202) 459-9907
(202) 543-4579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII1060
DC
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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