Individual
DR. DALTON S KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MA
Contact information
Practice address
1206 EVANS ST STE 10, GREENVILLE, NC 27834-4102
(252) 714-2145
Mailing address
1206 EVANS ST STE 10, GREENVILLE, NC 27834-4102
(252) 714-2145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20833
NC
Other
Enumeration date
12/19/2024
Last updated
12/24/2024
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