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Individual

JEFFREY N MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
3833 S STAPLES ST, S-203, CORPUS CHRISTI, TX 78411-5201
(361) 852-9665
(361) 852-2794
Mailing address
3833 S STAPLES ST, S-203, CORPUS CHRISTI, TX 78411-5201
(361) 852-9665
(361) 852-2794

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17377
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83335L
BLUECROSS/BLUE SHIELD
TX
Enumeration date
07/27/2006
Last updated
07/08/2007
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