Sean Ezra Dalton

Individual provider Active NPI Professional Counselor · Rockingham, NC

NPI 1376980136 · NPPES record last updated Jul 25, 2013

Key facts

NPI
1376980136
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
116 S Lawrence St
Rockingham, NC 28379-3657
Phone
(910) 895-2462
Fax
(910) 895-9896
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

116 S Lawrence St
Rockingham, NC 28379-3657

Mailing address

284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Phone (704) 939-1100

Other providers in Rockingham, NC

All providers in Rockingham, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.