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Daniel Paul Black, RRW Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Covina, CA

NPI
1134550338
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
RW7051 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2013-12-12
Last updated
2013-12-12
Practice location
540 S Eremland Dr
Covina, CA 91723-3186
(626) 966-1577

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