Individual
MARK DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4124 56TH ST SW STE 4, WYOMING, MI 49418-9494
(616) 222-0631
Mailing address
2295 VAN BUREN ST, HUDSONVILLE, MI 49426-6400
(616) 401-2850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223230
MI
Other
Enumeration date
06/03/2015
Last updated
02/20/2023
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