Provider Demographics
NPI:1942453287
Name:MCALLISTER, DARRIN ALLAN (MS, LADC)
Entity Type:Individual
Prefix:
First Name:DARRIN
Middle Name:ALLAN
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:MS, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-1102
Mailing Address - Country:US
Mailing Address - Phone:203-870-1134
Mailing Address - Fax:
Practice Address - Street 1:289 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-1102
Practice Address - Country:US
Practice Address - Phone:203-870-1134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)