Individual
MS. JAIME L DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAS-T
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2156
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36111
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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