| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDREW ALAN DALE | 1811514045 | 2020-07-03 |
Andrew Alan Dale is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811514045. Registration indicates Andrew Alan Dale is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Andrew Alan Dale |
| Practice Office Address | 135 CIELO LN APT 303 NOVATO, CA US |
| Practice Office Telephone | 8058689086 |
| Mailing Address | 135 CIELO LN APT 303 NOVATO, CA 949493310 US |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 14049-RAC
CA |
| 193400000X SING | Group Code |
| D6710328 | MEDICAID | CA |