Individual
RANADA DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, MAMFT
Contact information
Practice address
8401 MOLLER RD # 78593, INDIANAPOLIS, IN 46268-5553
(317) 969-5694
(317) 663-1000
Mailing address
PO BOX 78593, INDIANAPOLIS, IN 46278-0593
(317) 969-5694
(317) 663-1000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39003303A
IN
101YM0800X
Mental Health Counselor
Primary
39003303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001285099
ANTHEM
—
Enumeration date
06/20/2018
Last updated
05/22/2024
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