Individual
MR. ERIC RENE DANIELS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
24624 101ST PL SE, KENT, WA 98030-5174
(206) 323-0930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60235877
WA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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