Individual provider · Type 1 NPI
William Van Wyk
Addiction (Substance Use Disorder) Counselor · Bend, OR
NPI number
1114439007
Active
Practice location
210 NW Irving Ave Ste 101
Bend, OR 97703-2050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114439007
William Van Wyk's National Provider Identifier is 1114439007, issued on Oct 31, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Oct 31, 2017.