Individual
BRIAN HOWARD VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 MAIN ST STE 500, VANCOUVER, WA 98660-2972
(360) 695-1014
(360) 750-1374
Mailing address
1104 MAIN ST STE 500, VANCOUVER, WA 98660-2972
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60154427
WA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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