Individual
MR. DANIEL JASON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1317 ROUTE 73 STE 2, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Mailing address
1317 ROUTE 73 STE 2, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
191711
OH
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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