Individual
MR. DALTON RYAN PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC CANDIDATE
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(919) 207-0078
Mailing address
1322 E ALLEN RD APT 7, TAHLEQUAH, OK 74464-2251
(580) 559-6450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
01/22/2021
Last updated
01/23/2021
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