Individual
MR. ERIC TRAVIS DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
606 E SPRING ST, COOKEVILLE, TN 38501-5066
(931) 303-0665
Mailing address
606 E SPRING ST, COOKEVILLE, TN 38501-5066
(931) 303-0665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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