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1952098220
JEFFREY SCOTT MCDANIEL
PORTLAND, OR
NPI
1952098220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 232-03-10697)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
JEFFREY SCOTT MCDANIEL CADC I
333 NW 4TH AVE APT 519
PORTLAND, OR 97209-3965
Phone number: 406-431-2539
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Mailing Address
JEFFREY SCOTT MCDANIEL CADC I
333 NW 4TH AVE APT 519
PORTLAND, OR 97209-3965
Phone number: 406-431-2539
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