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JAMES DALE CAC NPI 1801867460


NPI Information

NPI: 1801867460
Provider Name: JAMES DALE, CAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
13215 BROOK LANE
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 733-0331
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James Dale, CAC is an addiction (substance use disorder) counselor in Hagerstown, MD. James Dale, CAC NPI is 1801867460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13215 BROOK LANE
HAGERSTOWN, MD
ZIP 21742-514
Phone: (301) 733-0331
Fax: (301) 733-4038

The enumeration date for this NPI number is 1/31/2006 and was last updated on 3/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)AC0730MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1986965400MEDICAIDMARYLAND
2698800800MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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