Individual
ANGELA VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1800 S LOOP 288, DENTON, TX 76205-4802
(512) 893-6005
Mailing address
1800 S LOOP 288, DENTON, TX 76205-4802
(512) 893-6005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
81274
TX
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
09/21/2017
Last updated
09/07/2024
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