Provider Demographics
NPI:1821566217
Name:HOWARD, DARNELL JULIUS SR (CDCA)
Entity type:Individual
Prefix:MR
First Name:DARNELL
Middle Name:JULIUS
Last Name:HOWARD
Suffix:SR
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:408 9TH ST SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44707-4714
Mailing Address - Country:US
Mailing Address - Phone:330-541-0335
Mailing Address - Fax:
Practice Address - Street 1:4771 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-9631
Practice Address - Country:US
Practice Address - Phone:330-399-6451
Practice Address - Fax:330-394-6029
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH140179101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH140179OtherCDCA