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Individual

MRS. REBECCA ANN DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3032 S FREMONT AVE STE C200, SPRINGFIELD, MO 65804-4210
(417) 882-7827
(417) 882-7829
Mailing address
3032 S FREMONT AVE STE C200, SPRINGFIELD, MO 65804-4210
(417) 882-7827
(417) 882-7829

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2017002480
MO
101YM0800X
Mental Health Counselor
2017002480
MO
101YP2500X
Professional Counselor
2017002480
MO

Other

Enumeration date
06/05/2018
Last updated
01/10/2024
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