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Individual

DANIEL NATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3454 OAK ALLEY CT STE 400, TOLEDO, OH 43606-1355
(419) 971-0472
Mailing address
3454 OAK ALLEY CT STE 400, TOLEDO, OH 43606-1355
(419) 297-1047

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2002352
OH
101YP2500X
Professional Counselor
Primary
C.2103403
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0406817
OH
Enumeration date
05/20/2020
Last updated
02/22/2023
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