SAMUEL BARRY DALTON

POCATELLO, ID
NPI1396484770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-8901)
Enumeration Date2022-06-02
Last Update Date2023-07-05
Business Address
SAMUEL BARRY DALTON LPC
151 N 3RD AVE STE 202B
POCATELLO, ID 83201-6368
Phone number: 208-479-7864
Mailing Address
SAMUEL BARRY DALTON LPC
738 S 4TH AVE
POCATELLO, ID 83201-6503
Phone number: 208-749-3558
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