Provider Demographics
NPI:1831624378
Name:MCGEE, DARREN
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:MCGEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:APT 314
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4158
Mailing Address - Country:US
Mailing Address - Phone:253-376-9759
Mailing Address - Fax:
Practice Address - Street 1:702 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:APT 314
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4158
Practice Address - Country:US
Practice Address - Phone:253-376-9759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60621190101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)