Individual
JOSHUA MCDANNELL
Active
Individual
JOSHUA MCDANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-R
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
T-23-3223
OR
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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