person
Jephthat Mcdaniel
Addiction (Substance Use Disorder) Counselor in Lombard, Illinois
NPI 1861273781

Jephthat Mcdaniel is an Addiction (Substance Use Disorder) Counselor based in Elk Grove Vlg, IL and is specialized in Addiction (Substance Use Disorder). Jephthat Mcdaniel practices in Lombard, IL. The NPI Number for Jephthat Mcdaniel is 1861273781 and holds a License No. (Illinois).

The current practice location address for Jephthat Mcdaniel is 2200 S Grace St Apt 605, Lombard, IL and can be reached out via phone at 312-709-5351.

Location: 2200 S Grace St Apt 605, Lombard, IL, 60007-3217
person
Provider Profile Details
NPI Number
1861273781
Provider Name
Jephthat Mcdaniel
Credential
Provider Entity Type
Individual
Gender
Male
Address
2200 S Grace St Apt 605, Lombard, IL, 60007-3217
Phone Number
312-709-5351
Fax Number
Provider Enumeration Date
10/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 S Grace St Apt 605
City
State
Zip
60148-5514
Phone Number
312-709-5351
Fax Number
person
Provider Business Mailing Address Details
Address
2200 S Grace St Apt 605
City
State
Zip
60148-5514
Phone Number
312-709-5351
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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