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Individual

MR. DANIEL MCANINCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, LCDC-I

Contact information

Practice address
100 N MAIN ST, SUITE 519, CORSICANA, TX 75110-5273
(903) 530-6728
Mailing address
PO BOX 1333, CORSICANA, TX 75151-1333
(903) 530-6728

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14187
TX

Other

Enumeration date
10/11/2011
Last updated
10/13/2011
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