Individual
MR. CHARLES C DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100A WARREN ST, BOSTON, MA 02119-3209
(617) 708-0870
(617) 516-8274
Mailing address
100A WARREN ST, BOSTON, MA 02119-3209
(617) 708-0870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
119702
MA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/07/2011
Last updated
08/17/2016
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