Individual
ANGELA DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 11TH ST, PORTSMOUTH, OH 45662-4531
(740) 529-7356
(740) 529-1354
Mailing address
1907 11TH ST, PORTSMOUTH, OH 45662-4531
(740) 529-7356
(740) 529-1354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161914
OH
104100000X
Social Worker
Primary
1.2405366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437667045
—
OH
Enumeration date
01/17/2018
Last updated
11/02/2024
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