| Doctor Name: | MR. DALE EDWARD WILLIAMS |
| NPI Number: | 1013090588 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MC, LPC |
| License Number: | C1815 |
| Business Practice Address: | 621 W Madrone St Roseburg, OR - 974703090 |
| Business Phone Number: | 5414403532 |
| Business Fax Number: | 5414403554 |
| Mailing Address: | 673 Donruss Dr, ROSEBURG |
| State: | OR |
| Postal Code: | 974709709 |
| Phone Number: | 5417335915 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C1815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |