Individual
JOYCE MARIE DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
12 W WOOD ST, NEWAYGO, MI 49337
(231) 652-1780
(231) 652-1786
Mailing address
221 E OAK ST, FREMONT, MI 49412-1649
(231) 924-6302
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301010718
MI
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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