Individual
MR. ANTOINE LAMONT DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QSAP
Contact information
Practice address
163 STRATFORD CT, WINSTON SALEM, NC 27103-1836
(336) 580-3439
(336) 760-1759
Mailing address
5455 STONE CROSSING DR, WINSTON SALEM, NC 27104-3744
(336) 580-3439
(336) 760-1759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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