Individual
TERESA ELSIE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMFT, MFT
Contact information
Practice address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7088
(216) 476-7604
Mailing address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7088
(216) 476-7604
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
1074
NC
106H00000X
Marriage & Family Therapist
Primary
F116
OH
Other
Enumeration date
06/12/2011
Last updated
09/15/2011
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