Individual
DR. MICHAEL DAVID MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, LPC, LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1937
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LISAC-1446
AZ
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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