Individual
MS. BRENDA JOY DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16624 MARINE DR, STANWOOD, WA 98292
(201) 416-9389
Mailing address
26910 92ND AVE NW STE C5, # 144, STANWOOD, WA 98292-6740
(201) 416-9389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61014343
WA
Other
Enumeration date
05/11/2017
Last updated
05/27/2022
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