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NPI Code Detail

MEDICARE: MR. MICHAEL DARDEN

MEDICARE:  MR. MICHAEL  DARDEN
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
1101YM0800XMental Health Counselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1568581395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL DARDEN
Provider Business Mailing Address
First Line : PO BOX 730
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-0730
Country : US
Telephone Number : 760-773-6767
Fax Number : 760-773-6760
Provider Business Practice Location Address
First Line : 14320 PALM DR
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-6874
Country : US
Telephone Number : 760-773-6767
Fax Number : 760-773-6760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 10/26/2023

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