Individual
DANIEL MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 E PALMDALE BLVD STE I, PALMDALE, CA 93550-4949
(909) 957-4265
Mailing address
921 W AVENUE J STE C, LANCASTER, CA 93534-3443
(323) 472-1953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ACSW100874
CA
104100000X
Social Worker
Primary
100874
CA
1041C0700X
Clinical Social Worker
100874
CA
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2019
Last updated
10/24/2024
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