person
Samuel Barry Dalton, LPC
Mental Health Counselor in Pocatello, Idaho
NPI 1396484770

Samuel Barry Dalton is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Samuel Barry Dalton practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Samuel Barry Dalton is 1396484770 and holds a License No. LPC-8901 (Idaho).

The current practice location address for Samuel Barry Dalton is 151 N 3Rd Ave Ste 202B, Pocatello, ID and can be reached out via phone at 208-479-7864 and via fax at 208-656-7344.

Location: 151 N 3Rd Ave Ste 202B, Pocatello, ID, 83201-6503
person
Provider Profile Details
NPI Number
1396484770
Provider Name
Samuel Barry Dalton
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
151 N 3Rd Ave Ste 202B, Pocatello, ID, 83201-6503
Phone Number
208-479-7864
Fax Number
208-656-7344
Provider Enumeration Date
06/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
151 N 3Rd Ave Ste 202B
City
State
Zip
83201-6368
Phone Number
208-479-7864
Fax Number
208-656-7344
person
Provider Business Mailing Address Details
Address
151 N 3Rd Ave Ste 202B
City
State
Zip
83201-6368
Phone Number
208-479-7864
Fax Number
208-656-7344
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-8901 (Idaho)
Definition
Definition to come...
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