Individual
JAMES DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
13215 BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0331
(301) 733-4038
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0331
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698800800
—
MD
05
—
986965400
—
MD
Enumeration date
01/31/2006
Last updated
03/23/2018
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