Individual
MISS MICHAELENE A DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC 1; LMHC
Contact information
Practice address
SLOAN CLINIC, 140 HIGH ST - 2ND FL, SPRINGFIELD, MA 01199-0001
(413) 794-8409
(413) 794-2793
Mailing address
SLOAN CLINIC, 140 HIGH ST - 2ND FL, SPRINGFIELD, MA 01199-0001
(413) 794-8409
(413) 794-2793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
845
MA
101YM0800X
Mental Health Counselor
4390
MA
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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