Individual
ALYDA JEANETTE DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4190
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/19/2019
Last updated
07/21/2022
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