Provider Demographics
NPI:1578732988
Name:YOUNG, DALTON
Entity Type:Individual
Prefix:
First Name:DALTON
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DALTON
Other - Middle Name:O
Other - Last Name:YOUNG
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2042 SCENIC VIEW LN
Mailing Address - Street 2:APT 6B
Mailing Address - City:HELLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055
Mailing Address - Country:US
Mailing Address - Phone:610-838-1520
Mailing Address - Fax:
Practice Address - Street 1:492 ROUTE 57 WEST
Practice Address - Street 2:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882
Practice Address - Country:US
Practice Address - Phone:908-689-1000
Practice Address - Fax:908-689-4529
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health