KELLY A MCDANIEL

PORTSMOUTH, OH
NPI1619504545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies261QM0801X 
Enumeration Date2020-03-23
Last Update Date2024-04-16
Business Address
KELLY A MCDANIEL CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
Mailing Address
KELLY A MCDANIEL CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685