Individual
DANIEL BODANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(888) 417-0302
Mailing address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(812) 406-0377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/03/2023
Last updated
03/07/2025
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