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Individual

MR. MICHAEL NA DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCAS LCSW CCS

Contact information

Practice address
2604 WINDING CV, GRIMESLAND, NC 27837-8611
(919) 300-9338
Mailing address
105 WINTER COURT, SELMA, NC 27576
(919) 300-9338

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1593
NC

Other

Enumeration date
01/25/2012
Last updated
11/16/2022
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