Jephthat McDaniel
Jephthat McDaniel is an Addiction (Substance Use Disorder) Counselor in Lombard, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2200 S Grace St Apt 605Lombard, IL 60148-5514
Phone: (312) 709-5351
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1861273781 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 6, 2023 |
| Last updated in NPPES | October 6, 2023 |
| Certification date | October 6, 2023 |
| Mailing address | 1001 Rohlwing Rd, Elk Grove Vlg, IL 60007-3217 |
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