MEDICARE: ALISHA MASSEY DALTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	90383	TX
2	101YP2500X	Professional Counselor	TPMC5003	FL
3	101YP2500X	Professional Counselor	3039	WV
4	101YP2500X	Professional Counselor	LPC-GA-1715	GA
5	101YP2500X	Professional Counselor	LPC-OH-1716	OH
6	101YP2500X	Professional Counselor	6370	LA

General Provider Information

NPI Number	:	1598292112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA MASSEY DALTON

Provider Business Mailing Address
First Line	:	17542 FIVE OAKS DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-6553
Country	:	US
Telephone Number	:	225-620-7799
Fax Number	:

Provider Business Practice Location Address
First Line	:	17542 FIVE OAKS DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-6553
Country	:	US
Telephone Number	:	225-620-7799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2017
Last Update Date	:	06/25/2026

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Directions to “ ALISHA MASSEY DALTON ” Practice Location

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