Individual provider · Type 1 NPI

Jennifer Diane Dale, M.A.

Mental Health Counselor · Longview, WA

NPI number 1831475904 Active

Practice location

921 14th Ave
Longview, WA 98632-2316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831475904

Jennifer Diane Dale, M.A.'s National Provider Identifier is 1831475904, issued on Nov 2, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Nov 2, 2011.