Jephthat Mcdaniel

NPI #1861273781 in Lombard, Illinois

Provider Information

NPI Number
1861273781
Entity Type
Individual
Name
Jephthat Mcdaniel
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 6, 2023
Last Updated
Oct 6, 2023

Practice Location

Address
2200 S GRACE ST APT 605
ZIP Code
60148-5514
Phone
(312) 709-5351

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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