person
Monty Keith Dale
Professional Counselor in Blythe, California
NPI 1104595685

Monty Keith Dale is a Professional Counselor based in Blythe, CA and is specialized in Professional. Monty Keith Dale practices in Blythe, CA. The NPI Number for Monty Keith Dale is 1104595685 and holds a License No. 8833 (California).

The current practice location address for Monty Keith Dale is 2200 E Donlon St Apt 2476C, Blythe, CA and can be reached out via phone at 310-279-0756.

Location: 2200 E Donlon St Apt 2476C, Blythe, CA, 92225-3044
person
Provider Profile Details
NPI Number
1104595685
Provider Name
Monty Keith Dale
Credential
Provider Entity Type
Individual
Gender
Male
Address
2200 E Donlon St Apt 2476C, Blythe, CA, 92225-3044
Phone Number
310-279-0756
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 E Donlon St Apt 2476C
City
State
Zip
92225-3044
Phone Number
310-279-0756
Fax Number
person
Provider Business Mailing Address Details
Address
2200 E Donlon St Apt 2476C
City
State
Zip
92225-3044
Phone Number
310-279-0756
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
8833 (California)
Definition
Definition to come...
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