Individual
DARLENE ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC
Contact information
Practice address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Mailing address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340207
TRICARE PROVIDER #
VA
01
—
ANTHEM
ANTHEM BC/BS PROVIDER #
VA
Enumeration date
09/11/2006
Last updated
07/08/2007
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