Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Darryl Glen Funk, LSATP

Individual provider Substance Abuse Rehabilitation Facility · NPI 1568612679

Darryl Glen Funk, LSATP is a Substance Abuse Rehabilitation Facility in Arlington, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

521 N Quincy St
Arlington, VA 22203-2136
Phone: (703) 841-0703
Fax: (703) 841-2316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 0718000027 (VA)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X (VA)

Record details

NPI number1568612679
Entity typeIndividual (Type 1)
GenderMale
Credentials LSATP
Sole proprietorYes
NPI enumeratedSeptember 25, 2008
Last updated in NPPESSeptember 25, 2008

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