Individual
MARK VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
Mailing address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20079-130
WI
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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