Individual
DANIEL P SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
322 W HIGH ST, ELIZABETHTOWN, PA 17022-2140
(254) 291-7313
Mailing address
322 W HIGH ST, ELIZABETHTOWN, PA 17022-2140
(254) 291-7313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC007761
PA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/24/2010
Last updated
09/21/2015
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