| Mr Darrell T House, LADAC | |
|
500 N. Indiana Avenue, Winslow, AZ 86047-1269 | |
| (928) 289-4646 | |
| (928) 289-6225 |
| Full Name | Mr Darrell T House |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 500 N. Indiana Avenue, Winslow, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396065488 | NPI | - | NPPES |
| 0132471 | Other | NM | LADAC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0132471 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Darrell T House, LADAC 500 N. Indiana Ave., Winslow, AZ 86047-1269 Ph: (928) 289-4646 | Mr Darrell T House, LADAC 500 N. Indiana Avenue, Winslow, AZ 86047-1269 Ph: (928) 289-4646 |
Karen M Blackwell, LMFT LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 E Third St, Winslow, AZ 86047 Phone: 928-289-4658 Fax: 928-289-3775 | |
Ms. Ursula Paula Baker, BS; LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 W Second St, Winslow, AZ 86047 Phone: 928-289-2650 Fax: 928-289-0477 | |
Wilfred Shirley, SUBSTANCE ABUSE COUN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 Phone: 928-657-8000 Fax: 928-657-8009 | |
Stephanie E Peters, SCHOOL COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 N Apache Ave, Winslow, AZ 86047 Phone: 928-288-8636 Fax: 928-288-8295 | |
Kris C Papin, MA, LASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 W Second St, Winslow, AZ 86047 Phone: 928-289-2650 Fax: 928-289-0477 |