Provider Demographics
NPI:1710572235
Name:JAROSZ, DARLENE LYNN (BS)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:LYNN
Last Name:JAROSZ
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3875 ROBERT C BYRD DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-2964
Mailing Address - Country:US
Mailing Address - Phone:304-859-4252
Mailing Address - Fax:304-929-4134
Practice Address - Street 1:3875 ROBERT C BYRD DR
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2964
Practice Address - Country:US
Practice Address - Phone:304-859-4252
Practice Address - Fax:304-929-4134
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator