Individual
MS. LISA JEAN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
142 NICHOLS ST, GARDNER, MA 01440-4038
(978) 343-6300
Mailing address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 343-6300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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