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Andrew Alan Dale
Addiction (Substance Use Disorder) Counselor in Novato, California
NPI 1811514045

Andrew Alan Dale is an Addiction (Substance Use Disorder) Counselor based in Novato, CA and is specialized in Addiction (Substance Use Disorder). Andrew Alan Dale practices in Novato, CA. The NPI Number for Andrew Alan Dale is 1811514045 and holds a License No. 14049-RAC (California).

The current practice location address for Andrew Alan Dale is 135 Cielo Ln Apt 303, Novato, CA and can be reached out via phone at 805-868-9086.

Location: 135 Cielo Ln Apt 303, Novato, CA, 94949-3310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811514045
Provider Name
Andrew Alan Dale
Credential
Provider Entity Type
Individual
Gender
Male
Address
135 Cielo Ln Apt 303, Novato, CA, 94949-3310
Phone Number
805-868-9086
Fax Number
Provider Enumeration Date
07/03/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D6710328 05 CA
institution
Provider Business Practice Location Address Details
Address
135 Cielo Ln Apt 303
City
Novato
State
California
Zip
94949-3310
Phone Number
805-868-9086
Fax Number
person
Provider Business Mailing Address Details
Address
135 Cielo Ln Apt 303
City
Novato
State
California
Zip
94949-3310
Phone Number
805-868-9086
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
14049-RAC (California)
Definition
Definition to come...
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