Individual
MR. HAROLD S. DALTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, CADC
Contact information
Practice address
24 VETERAN SQUARE, 2ND FLOOR, MEDIA, PA 19063-3101
(610) 565-2690
(610) 565-2695
Mailing address
12 VETERANS SQ STE 200, 2ND FLOOR, MEDIA, PA 19063-3129
(610) 565-2690
(610) 565-2695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4530
PA
1041C0700X
Clinical Social Worker
Primary
CW013854
PA
1041C0700X
Clinical Social Worker
Q10000516
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010175980001
—
PA
05
—
1010175980002
—
PA
01
—
102080464
UNITED BEHAVIORAL HEALTH
PA
01
—
149079 - A917651
VALUE OPTIONS
PA
01
—
2318608
PERSONAL CHOICE
PA
01
—
234586
COMPSYCH
PA
01
—
351291
MANAGED HEALTH - TRICARE
PA
01
—
7600130
AETNA
PA
01
—
9730
PENN BEHAVIORAL HEALTH
PA
01
—
DA1658217
HIGHMARK BC/BS
PA
01
—
MIS 171545000
MAGELLAN
PA
Enumeration date
04/10/2006
Last updated
08/10/2018
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