Individual
DALTON STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 S HENRY ST, DELAWARE, OH 43015-2978
(740) 369-4482
Mailing address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
08/16/2024
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