Individual
MRS. JEANA DEALENE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 876-2375
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 876-2375
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
11924-C
NV
1041C0700X
Clinical Social Worker
LICSW1141589
MA
Other
Enumeration date
09/04/2007
Last updated
03/19/2026
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