Individual
CHARLES L DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4131 W LOOMIS RD APT 120, GREENFIELD, WI 53221-2006
(414) 424-2445
(414) 424-2446
Mailing address
1900 SILVER LAKE RD NW STE 11, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
10/24/2025
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