| Doctor Name: | DANIEL OBRIEN |
| NPI Number: | 1104216969 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.S.W. |
| License Number: | S-0022070 |
| Business Practice Address: | 35645 State Route 303 Grafton, OH - 440449660 |
| Business Phone Number: | 4404768627 |
| Business Fax Number: | |
| Mailing Address: | 35645 State Route 303, GRAFTON |
| State: | OH |
| Postal Code: | 440449660 |
| Phone Number: | 4404768627 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2015 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | S-0022070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |