Individual
LAWRENCE DANIEL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6639 SOUTHPOINT PKWY STE 108, JACKSONVILLE, FL 32216-8042
(904) 438-7640
(904) 438-7656
Mailing address
932 SHORTRIDGE CT, ORANGE PARK, FL 32065-5767
(904) 802-8082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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