Individual
DANIEL FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15504 CRYSTAL CREEK CT, CLERMONT, FL 34711-8195
(407) 414-9507
Mailing address
15504 CRYSTAL CREEK CT, CLERMONT, FL 34711-8195
(407) 414-9507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP.0100129
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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