Individual
MR. JEFFREY DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3746 PROSPECT AVE E, CLEVELAND, OH 44115-2706
(216) 391-6672
Mailing address
1354 E 188TH ST, CLEVELAND, OH 44110-2852
(216) 785-0357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
169260
OH
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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