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NPI Code Detail

MEDICARE: CASSANDRA RACHELLE DALTON

MEDICARE: CASSANDRA RACHELLE 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
1101YP2500XProfessional Counselor172543KY

General Provider Information

NPI Number : 1801399639
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA RACHELLE DALTON
Provider Business Mailing Address
First Line : 600 MONTICELLO ST
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2974
Country : US
Telephone Number : 606-875-6540
Fax Number :
Provider Business Practice Location Address
First Line : 600 MONTICELLO ST
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2974
Country : US
Telephone Number : 606-875-6540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2018
Last Update Date : 03/18/2018

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Directions to “ CASSANDRA RACHELLE DALTON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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