Individual provider · Type 1 NPI
Monty Keith Dale
Professional Counselor · Blythe, CA
NPI number
1104595685
Active
Practice location
2200 E Donlon St Apt 2476C
Blythe, CA 92225-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 8833 (CA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Blythe
About NPI 1104595685
Monty Keith Dale's National Provider Identifier is 1104595685, issued on Sep 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blythe, CA. The record was last updated on Sep 8, 2021.