Healthcare Provider Details

I. General information

NPI: 1023256104
Provider Name (Legal Business Name): VALERIE DALTON ACOSTA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE CLAIRE DALTON LPC

II. Dates (important events)

Enumeration Date: 01/28/2009
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11809 WILLPAGE PL
HENRICO VA
23233-1673
US

IV. Provider business mailing address

4990 SADLER PLACE #3372
GLEN ALLEN VA
23060-3372
US

V. Phone/Fax

Practice location:
  • Phone: 804-396-2585
  • Fax: 804-364-5678
Mailing address:
  • Phone: 804-396-2585
  • Fax: 804-270-2090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701003869
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: