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Individual

DR. MICHAEL DAVID MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD, LPC, LISAC

Contact information

Practice address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-7267
(480) 362-7586
Mailing address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-7267

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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