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Individual
GREGORY C DALTON
Active
Individual
GREGORY C DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CADCIII, M.DIV
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14-08-19
OR
101YM0800X
Mental Health Counselor
Primary
C3592
OR
Other
Enumeration date
07/24/2017
Last updated
12/20/2021
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