Individual
KIRSTEN ROSE VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, TIC-C
Contact information
Practice address
2258 RED OAK DR, GREEN BAY, WI 54304-1784
(920) 664-5989
Mailing address
2258 RED OAK DR, GREEN BAY, WI 54304-1784
(920) 664-5989
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
WI
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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