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Individual

OMEGA DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 E FRAZIER AVE, COLUMBIA, KY 42728-1915
(270) 384-4719
(270) 384-4820
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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