Individual provider · Type 1 NPI
Anita Joan Van Dyke, LPC
Professional Counselor · Middleton, WI
NPI number
1104403104
Active
Practice location
9425 Elderberry Rd # 9425
Middleton, WI 53562-4365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7916-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1104403104
Anita Joan Van Dyke, LPC's National Provider Identifier is 1104403104, issued on Mar 25, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Middleton, WI. The record was last updated on Mar 25, 2021.