# MR. DALE D ELLENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326040346
- **Gender:** Man
- **Credential:** LPC LMFT QMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | LPC\#807 | SD | — |
| 106H00000X | Marriage & Family Therapist | LMFT\#00134 | IA | — |
| 106H00000X | Marriage & Family Therapist | LMFT\#1095 | SD | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 07/13/2026