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Individual
NATHAN VAN DYKE
Active
Individual
NATHAN VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9148081-6005
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
9148081-6006
UT
1041C0700X
Clinical Social Worker
Primary
9148081-3501
UT
Other
Enumeration date
07/01/2015
Last updated
01/29/2026
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