Provider Demographics
NPI:1538308903
Name:FRENCH, DALE ALLEN (LPC)
Entity type:Individual
Prefix:MR
First Name:DALE
Middle Name:ALLEN
Last Name:FRENCH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 US HWY 61 SOUTH
Mailing Address - Street 2:BHS
Mailing Address - City:CRYSTAL CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63019
Mailing Address - Country:US
Mailing Address - Phone:636-933-1231
Mailing Address - Fax:636-933-2946
Practice Address - Street 1:1400 US HWY 61 SOUTH
Practice Address - Street 2:BHS
Practice Address - City:CRYSTAL CITY
Practice Address - State:MO
Practice Address - Zip Code:63019
Practice Address - Country:US
Practice Address - Phone:636-933-1231
Practice Address - Fax:636-933-2946
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005040270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional