Individual
MR. JOHN DAVIS DANIELS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8800 NE 45TH ST, SPENCER, OK 73084-2576
(405) 204-2200
Mailing address
8800 NE 45TH ST, SPENCER, OK 73084-2576
(405) 204-2200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2843
OK
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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