Individual
DINA M VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8338 COMANCHE RD NE, SUITE B, ALBUQUERQUE, NM 87110-2304
(505) 323-3665
Mailing address
8338 COMANCHE RD NE, SUITE B, ALBUQUERQUE, NM 87110-2304
(505) 323-3665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0120911
NM
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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