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Ellis Lee Mcdaniel, CDP
Addiction (Substance Use Disorder) Counselor in Seattle, Washington
NPI 1164999504

Ellis Lee Mcdaniel is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Ellis Lee Mcdaniel practices in Seattle, WA and has the professional credentials of CDP. The NPI Number for Ellis Lee Mcdaniel is 1164999504 and holds a License No. CP00002904 (Washington).

The current practice location address for Ellis Lee Mcdaniel is 861 Poplar Pl S, Seattle, WA and can be reached out via phone at 844-987-9274.

Location: 861 Poplar Pl S, Seattle, WA, 98144-2827
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Provider Profile Details
NPI Number
1164999504
Provider Name
Ellis Lee Mcdaniel
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
861 Poplar Pl S, Seattle, WA, 98144-2827
Phone Number
844-987-9274
Fax Number
Provider Enumeration Date
10/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1006201 05 WA
institution
Provider Business Practice Location Address Details
Address
861 Poplar Pl S
City
State
Zip
98144-2827
Phone Number
844-987-9274
Fax Number
person
Provider Business Mailing Address Details
Address
861 Poplar Pl S
City
State
Zip
98144-2827
Phone Number
844-987-9274
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00002904 (Washington)
Definition
Definition to come...
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