Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 20100629122 | DE |
Y | 101YP1600X | Pastoral Counselor | 20100629122 | DE |
NPI | 1356654883 |
---|---|
Provider Name | Dr. Alton Edward Joseph |
First Address | Georgetown, DE 19947-0518 |
Second Address | Georgetown, DE 19947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2010 |
Last Update Date | 26/07/2010 |