Individual
DANIEL LEON MCGLOTHREN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA, LSW
Contact information
Practice address
64 RIDGE AVE, YOUNGSTOWN, OH 44502-1944
(330) 797-0070
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.167583
OH
104100000X
Social Worker
S.2005154
OH
175T00000X
Peer Specialist
Primary
0001707
OH
Other
Enumeration date
12/27/2017
Last updated
07/15/2020
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