Individual
HEATHER S DYKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
W205N17415 SPRING RIDGE CT, JACKSON, WI 53037-9129
(616) 450-8596
Mailing address
W205N17415 SPRING RIDGE CT, JACKSON, WI 53037-9129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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