Individual
JEAN L DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
112 E MYRTLE AVE, SUITE 405, JOHNSON CITY, TN 37601-8600
(423) 773-1071
Mailing address
112 E MYRTLE AVE, SUITE 405, JOHNSON CITY, TN 37601-8600
(423) 773-1071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1580
TN
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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