Dalton, Lisa M

Dalton, Lisa M is an individual health care provider with primary practice located at 1606 Wellington Ave Unit C , Wilmington NC 28401-7704. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dalton, Lisa M can be contacted via phone (910) 799-4505.

Contact Information

Primary practice address
1606 Wellington Ave Unit C Wilmington NC 28401-7704
Phone: (910) 799-4505
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5390 North Carolina

Profile Details

NPI number 1659430353
LBN Legal business name Dalton, Lisa M
Credentials MA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Oct 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659430353 NPPES
North Carolina MEDICAID 6103376

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