Individual
MR. ELIOT DEFOREST DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
120 W SICKLE ST, KENNETT SQUARE, PA 19348-2844
(484) 643-3704
Mailing address
120 W SICKLE ST, KENNETT SQUARE, PA 19348-2844
(484) 643-3704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009585
PA
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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