Provider Demographics
NPI:1497073050
Name:BYUS, DARLA KAY (CADC II)
Entity Type:Individual
Prefix:MS
First Name:DARLA
Middle Name:KAY
Last Name:BYUS
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 NE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-2023
Mailing Address - Country:US
Mailing Address - Phone:541-362-5610
Mailing Address - Fax:541-362-5611
Practice Address - Street 1:709 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-2023
Practice Address - Country:US
Practice Address - Phone:541-362-5610
Practice Address - Fax:541-362-5611
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR09-03-06101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR46-1054596OtherEIN