MR. ELIOT DEFOREST DALTON MA, LPC
NPI 1467989376
Counselor - Professional in Kennett Square, PA

Active since May 23, 2017
120 W SICKLE ST, KENNETT SQUARE, PA 19348(484) 643-3704 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, May 23, 2017 (2 updates tracked since 2017).

About Mr. Eliot Deforest Dalton Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELIOT DEFOREST DALTON MA, LPC (NPI 1467989376) is an individual professional provider in Kennett Square, Pennsylvania, licensed in Pennsylvania (PC009585) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1467989376
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ELIOT DEFOREST DALTONCredential: MA, LPC
Location Address120 W SICKLE STKennett Square, PA 19348-2844
Mailing Address120 W Sickle StKennett Square, PA 19348-2844 · (484) 643-3704
Sole ProprietorYes
Enumeration DateMay 23, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1467989376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC009585
120 W SICKLE ST, Kennett Square, PA 19348

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467989376, enumerated as an "individual" on May 23, 2017.

The provider is located at 120 W SICKLE ST KENNETT SQUARE, PA 19348 and the phone number is (484) 643-3704.

Counselor with taxonomy code 101YP2500X and a focus in Professional.