DARRYL LAMONT ANDERSON


Address: 124 15th St Se, Washington, DC 20003-1519
Phone: 2024599907

DARRYL LAMONT ANDERSON (NPI# 1811503477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811503477
Entity Type Individual
Full Name DARRYL LAMONT ANDERSON
Practice Address 124 15th St Se
Washington
DC 20003-1519
Practice Telephone 2024599907
Practice Fax Number 2025434579
Mailing Telephone 2024599907
Mailing Fax Number 2025434579
Enumeration Date 2020-09-18
Last Update Date 2020-09-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CACII1060 DC Behavioral Health & Social Service Providers

Other Providers DARRYL ANDERSON

NPI Name Taxonomy Address Enumeration
1134178783 Darryl P Anderson Internal Medicine 411 E Market St, Akron, OH 44304-1542 2006-05-10

Office Location

Street Address 124 15TH ST SE
City WASHINGTON
State DC
Zip Code 20003-1519

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1154943363 Brian Wesley Matthews Counselor 1400 Florida Ave Ne Apt 911, Washington, DC 20002-5028 2020-05-11
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1609403849 Shajava Shevougne Miller Counselor 425 2nd St Nw Ste 2north, Washington, DC 20001-2003 2020-03-26
1194351304 Lola Johnson Counselor 920 Bellevue St Se # Wdc, Washington, DC 20032-6030 2020-03-19
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Competitor

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City WASHINGTON
Zip Code 20003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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