MEDICARE: DARNELL MAURICE AVENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1326602087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARNELL MAURICE AVENT

Provider Business Mailing Address
First Line	:	7835 PINE CROSSING CIRCLE, APT: 1038
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807
Country	:	US
Telephone Number	:	412-927-9822
Fax Number	:

Provider Business Practice Location Address
First Line	:	7835 PINE CROSSING CIRCLE, APT: 1038
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807
Country	:	US
Telephone Number	:	412-927-9822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	04/29/2019

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Directions to “ DARNELL MAURICE AVENT ” Practice Location

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