Individual
MR. ANDREW D VANDYKE
Active
Individual
MR. ANDREW D VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CGP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-6331
CO
101YP2500X
Professional Counselor
Primary
LPC-6331
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27001784
—
CO
Enumeration date
12/14/2011
Last updated
02/08/2021
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