Individual
DALTON TIMOTHY LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1550 6TH ST, MANNING, IA 51455-1004
(712) 655-8124
(712) 655-8241
Mailing address
1550 6TH ST, MANNING, IA 51455-1004
(712) 655-8124
(712) 655-8241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22147
IA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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