Provider Demographics
NPI:1982050498
Name:DALE, MIRILANI (LMFTA, LMHC, CMHS)
Entity Type:Individual
Prefix:
First Name:MIRILANI
Middle Name:
Last Name:DALE
Suffix:
Gender:F
Credentials:LMFTA, LMHC, CMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 NE MIDWAY BLVD STE B203
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-2680
Mailing Address - Country:US
Mailing Address - Phone:360-682-6167
Mailing Address - Fax:360-682-6176
Practice Address - Street 1:390 NE MIDWAY BLVD STE B203
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-2680
Practice Address - Country:US
Practice Address - Phone:360-682-6167
Practice Address - Fax:360-682-6176
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor