Eliot Deforest Dalton | Kennett Square, PA • PECOS Search

Eliot Deforest Dalton

Counselor

Behavioral Health & Social Service Providers

120 W Sickle St, Kennett Square, PA 19348-2844

PECOS Enrollment

Based on the most recent information from CMS, provider Eliot Deforest Dalton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:48 AM.

Profile Details

Provider ID
1467989376
Provider Type
Individual
Full Name
Dalton, Eliot Deforest
Title
Mr.
Credential
MA, LPC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/23/2017
Last Updated
7/21/2022

Contact Information

Practice Location

120 W Sickle St, Kennett Square, PA 19348-2844

Unlisted Fax

Mailing Location

120 W Sickle St, Kennett Square, PA 19348-2844

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License PC009585 Pennsylvania