NPI | 1558760793 |
---|---|
Professional Name | DANIEL B FISHBURN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009239) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-22491) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2023-11-07 |