Individual
DALE J BRICKLEY
Active
Individual
DALE J BRICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003542
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103760371
—
PA
01
—
11738527
CAQH ID
—
01
—
PC003542
STATE LICENSE - PROFESSIONAL COUNSELOR
PA
Enumeration date
05/18/2007
Last updated
04/09/2026
Update your record
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