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Individual
MR. DALE R SMITH
Active
Individual
MR. DALE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000301
CT
101YP2500X
Professional Counselor
001085
CT
Other
Enumeration date
02/08/2006
Last updated
07/13/2026
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