Individual
KEELY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 W 3RD AVE, WILLIAMSON, WV 25661-3006
(304) 443-4562
Mailing address
1609 W 3RD AVE, WILLIAMSON, WV 25661-3006
(304) 443-4562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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