Individual
MR. DALE EDWARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC, LPC
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
673 DONRUSS DR, ROSEBURG, OR 97470-9709
(541) 733-5915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1815
OR
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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