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Individual

MR. DALE R WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
14007 BUCK CT, UPPER MARLBORO, MD 20772-6821
(301) 922-1334
(301) 627-0399
Mailing address
14007 BUCK CT, UPPER MARLBORO, MD 20772-6821
(301) 922-1334
(301) 627-0399

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCO307
MD
101YM0800X
Mental Health Counselor
Primary
LCO307
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286400200
MD
Enumeration date
11/04/2009
Last updated
12/15/2011
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