Individual provider · Type 1 NPI

Jephthat McDaniel

Addiction (Substance Use Disorder) Counselor · Lombard, IL

NPI number 1861273781 Active

Practice location

2200 S Grace St Apt 605
Lombard, IL 60148-5514

Mailing address

1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861273781

Jephthat McDaniel's National Provider Identifier is 1861273781, issued on Oct 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lombard, IL. The record was last updated on Oct 6, 2023.