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Individual
CHARLES L DALE III
Active
Individual
CHARLES L DALE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
12719
WI
Other
Enumeration date
03/18/2021
Last updated
07/29/2026
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