Provider Demographics
NPI:1427719517
Name:HUDSON, DARIN LAMAR (LPC)
Entity type:Individual
Prefix:MR
First Name:DARIN
Middle Name:LAMAR
Last Name:HUDSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 SOUTH AVE APT H28
Mailing Address - Street 2:
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-4478
Mailing Address - Country:US
Mailing Address - Phone:267-449-1624
Mailing Address - Fax:
Practice Address - Street 1:914 SOUTH AVE APT H28
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-4478
Practice Address - Country:US
Practice Address - Phone:267-449-1624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-01
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional