Daniels, Mark Richard

Daniels, Mark Richard is an sole proprietor health care provider with primary practice located at 17113 Minnetonka Blvd West Entrance, Minnetonka MN 55345. 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 / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Daniels, Mark Richard can be contacted via phone (612) 306-9099.

Contact Information

Primary practice address
17113 Minnetonka Blvd West Entrance Minnetonka MN 55345
Phone: (612) 306-9099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1831471812
LBN Legal business name Daniels, Mark Richard
Credentials BA, MBA, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 13 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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