Thomas Michael Dale LPC

NPI 1255538740 - Counselor - 101YP2500X

NPI Details
NPI 1255538740
Gender Male
Enumeration Date 06/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3118 N TEUTONIA AVE
MILWAUKEE WI, 53206-2264, US
Phone (414) 264-6155
Fax (414) 264-8288
Business Location
6518 W CAPITOL DRIVE
SUITE 208
MILWAUKEE WI, 53216, US
Phone (414) 466-3204
Fax (414) 466-3206
Toxanomy
Taxonomy Code 101YP2500X
License State Wisconsin
License Number 3400-125
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According to our database, Mr. Thomas Michael Dale LPC NPI is 1255538740, taxonomy code is 101YP2500X and license number is 3400-125, license state is located at Wisconsin. Thomas Michael Dale LPC physically located at 3118 N Teutonia Ave, Milwaukee WI, 53206-2264. NPI Number Thomas Michael Dale LPC has the Individual type.

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1255538740 NPI number is provided on an as is basis without warranty of any kind. 1255538740 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Michael Dale LPC are for informational purposes only.