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NPI Code Detail

MEDICARE: EMILY DANIELS

MEDICARE: EMILY DANIELS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1255051801
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY DANIELS
Provider Business Mailing Address
First Line : 350 CROSS ST
Second Line :
City : MALDEN
State : MA
Zip : 02148-7917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 CROSS ST
Second Line :
City : MALDEN
State : MA
Zip : 02148-7917
Country : US
Telephone Number : 781-317-5093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2022
Last Update Date : 09/01/2022

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Directions to “ EMILY DANIELS ” Practice Location

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