Daniels, Charles C

Daniels, Charles C is an individual health care provider with primary practice located at 100A Warren St , Boston MA 02119-3209. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Daniels, Charles C can be contacted via phone (617) 708-0870.

Contact Information

Primary practice address
100A Warren St Boston MA 02119-3209
Phone: (617) 708-0870
Fax: (617) 516-8274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 119702 Massachusetts
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1891076667
LBN Legal business name Daniels, Charles C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Aug 17th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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