Individual
JASON M DANIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
956 MONTCLAIR ROAD, SUITE 101, BIRMINGHAM, AL 35213
(205) 949-0099
(205) 949-0363
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243
(205) 968-8360
(205) 968-8373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1582C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51528352
BCBS
AL
01
—
51529631
BCBS
AL
Enumeration date
05/25/2006
Last updated
07/08/2007
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