Jacquelyn Dalton, PhD, CRC, NCC, LPC
Counselor, Professional in Portland, OR. Individual provider (NPI-1).
NPI number1801468293
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1801468293
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Dalton
- Credential
- PhD, CRC, NCC, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2021
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C7602 | OR | Yes |
| 225C00000X | Rehabilitation Counselor | – | – |
Practice location
812 Sw Washington St Ste 700Portland, OR 97205-3200
Phone 503-482-9590
Mailing address
7175 Sw Ivy Ln Apt 37Portland, OR 97225-1159
Phone 601-520-3224
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