Individual
MR. BRIAN J DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
555 W FRST MDWS ST STE 18, FLAGSTAFF, AZ 86001-3601
(602) 230-7373
(928) 260-9970
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-23980
AZ
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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