Individual provider · Type 1 NPI
Katie Van Dyke
Mental Health Counselor · Chattanooga, TN
NPI number
1124600614
Active
Practice location
936 Mountain Creek Rd Apt Z280
Chattanooga, TN 37405-1733
Mailing address
6236 Airpark Dr Ste A
Chattanooga, TN 37421-2988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124600614
Katie Van Dyke's National Provider Identifier is 1124600614, issued on Apr 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chattanooga, TN. The record was last updated on Apr 23, 2021.