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Individual

MRS. DESIREE DEBUTTS FARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC, ICADC

Contact information

Practice address
425-B CARLISLE DRIVE, HERNDON, VA 20170
(703) 464-5122
(703) 464-5822
Mailing address
425-B CARLISLE DRIVE, HERNDON, VA 20170
(703) 464-5122

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SACAUA 1203
VA

Other

Enumeration date
06/19/2014
Last updated
06/19/2014
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