MEDICARE: DARRIN GLEN MYERS

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	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker	150.114631	IL
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	150.114631	IL

General Provider Information

NPI Number	:	1285385112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRIN GLEN MYERS

Provider Business Mailing Address
First Line	:	211 N HAMMES AVE STE 1A
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8113
Country	:	US
Telephone Number	:	815-290-0902
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 N HAMMES AVE STE 1A
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8113
Country	:	US
Telephone Number	:	815-290-0902
Fax Number	:	509-753-2503

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

Provider Enumeration Date	:	01/12/2022
Last Update Date	:	04/21/2026

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Directions to “ DARRIN GLEN MYERS ” Practice Location

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