Individual
ASHLEY VANDYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
424 S MONROE AVE STE 201, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174
Mailing address
424 S MONROE AVE STE 201, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4928-226
WI
Other
Enumeration date
03/30/2021
Last updated
04/01/2021
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