Individual
MRS. JANICE LYNNE DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2020 RAYBROOK ST SE, SUITE 104A, GRAND RAPIDS, MI 49546-7717
(616) 560-0424
Mailing address
2020 RAYBROOK ST SE, SUITE 104A, GRAND RAPIDS, MI 49546-7717
(616) 560-0424
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010997
MI
Other
Enumeration date
07/23/2011
Last updated
07/23/2011
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