Individual
DONNA DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5052 49TH AVE SW, SEATTLE, WA 98136-1011
(206) 714-4364
Mailing address
5052 49TH AVE SW, SEATTLE, WA 98136-1011
(206) 714-4364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CL 60155043
WA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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