Minor, Dale Michael

Minor, Dale Michael is an individual health care provider with primary practice located at 8699 Terrell Road , Athens OH 45701-9325. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Minor, Dale Michael can be contacted via phone (740) 592-5195.

Contact Information

Primary practice address
8699 Terrell Road Athens OH 45701-9325
Phone: (740) 592-5195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0008212 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 061009 Ohio

Profile Details

NPI number 1669782322
LBN Legal business name Minor, Dale Michael
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Oct 15th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669782322 NPPES
Ohio Other 12128803 CAQH

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