Individual provider · Type 1 NPI

Charles Dale Jr., B.S.

Addiction (Substance Use Disorder) Counselor · Wilmington, DE

NPI number 1265759294 Active

Practice location

604 W 10th St, Guadenzia Fresh Start
Wilmington, DE 19801-1424

Fax (302) 656-1294

Mailing address

604 W. 10th Street, Guadenzia Fresh Start
Wilmington, DE 19801

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265759294

Charles Dale Jr., B.S.'s National Provider Identifier is 1265759294, issued on Apr 30, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, DE. The record was last updated on Apr 30, 2010.