| Doctor Name: | MR. DALE D ELLENS |
| NPI Number: | 1326040346 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC LMFT QMHP |
| License Number: | LPC#807 |
| Business Practice Address: | 400 S Sycamore Ave Suite 105-3 Sioux Falls, SD - 571101246 |
| Business Phone Number: | 6053343739 |
| Business Fax Number: | 6053347752 |
| Mailing Address: | 400 S Sycamore Ave, Suite 105-3 SIOUX FALLS |
| State: | SD |
| Postal Code: | 571101246 |
| Phone Number: | 6053343739 |
| Fax Number: | 6053347752 |
| NPI Enumeration Date: | 08/10/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LPC#807 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |