Guest, Darrell M

Guest, Darrell M is an individual health care provider with primary practice located at 1320 Woodman Dr Suite 200, Dayton OH 45432-3497. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Guest, Darrell M can be contacted via phone (937) 223-1781.

Contact Information

Primary practice address
1320 Woodman Dr Suite 200 Dayton OH 45432-3497
Phone: (937) 223-1781
Fax: (937) 853-0096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001182 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X W909 Ohio

Profile Details

NPI number 1609853753
LBN Legal business name Guest, Darrell M
Credentials MSW SWA LCDCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609853753 NPPES
Ohio MEDICAID 2272231

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