Individual
MARTINS DIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA PHIL, CAP
Contact information
Practice address
500 NE 1ST ST, BELLE GLADE, FL 33430-2008
(561) 983-2424
Mailing address
500 NE 1ST ST, BELLE GLADE, FL 33430-2008
(561) 983-2424
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ADC-009449-2015
FL
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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