Individual
MR. DANIEL JEROME MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 GILMER ST, REIDSVILLE, NC 27320-3870
(336) 324-3829
Mailing address
1410 ALAMANCE CHURCH RD, GREENSBORO, NC 27406-9432
(336) 272-4008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MHL079119
NC
101YM0800X
Mental Health Counselor
MHL079119
NC
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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