Individual
DALTON ANTHONY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
346 RUFFIAN TRL, CORBIN, KY 40701-8516
(606) 304-6113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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