Individual
JEFFREY SCOTT MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
333 NW 4TH AVE APT 519, PORTLAND, OR 97209-3965
(406) 431-2539
Mailing address
333 NW 4TH AVE APT 519, PORTLAND, OR 97209-3965
(406) 431-2539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
232-03-10697
OR
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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