Individual
JEREMIAH DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
706 N CHEROKEE AVE, DOTHAN, AL 36303-3113
(334) 796-1485
Mailing address
706 N CHEROKEE AVE, DOTHAN, AL 36303-3113
(334) 796-1485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3736
AL
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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