Individual
DYLAN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 COUNTY ROAD WEST LONETREE, LINTON, IN 47441-0553
(812) 847-4435
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002454A
IN
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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