Individual
ANITA JOAN VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9425 ELDERBERRY RD # 9425, MIDDLETON, WI 53562-4365
(319) 329-5149
Mailing address
9425 ELDERBERRY RD # 9425, MIDDLETON, WI 53562-4365
(319) 329-5149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7916-125
WI
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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