Williams, Dale R
Williams, Dale R is an sole proprietor health care provider with primary practice located at 14007 Buck Ct , Upper Marlboro MD 20772-6821. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Williams, Dale R can be contacted via phone (301) 922-1334.Contact Information
Primary practice address
14007 Buck Ct
Upper Marlboro MD 20772-6821
Phone: (301) 922-1334
Fax: (301) 627-0399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCO307 | Maryland |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCO307 | Maryland |
Profile Details
| NPI number | 1245567718 |
|---|---|
| LBN Legal business name | Williams, Dale R |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2009 |
| Last updated | Dec 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245567718 | NPPES |
| Maryland | MEDICAID | 286400200 |
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