DANIEL PATRICK MINER

PLACERVILLE, CA
NPI1114409083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1320970818)
Enumeration Date2018-09-06
Last Update Date2018-09-06
Business Address
DANIEL PATRICK MINER RADT-1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-642-1715
Mailing Address
DANIEL PATRICK MINER RADT-1
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-642-1715