Individual provider · Type 1 NPI
James Richard Dyckman, MASTERS
Mental Health Counselor · Buffalo, NY
NPI number
1164699609
Active
Practice location
94 Wingate Ave
Buffalo, NY 14216-2508
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 1164699609
James Richard Dyckman, MASTERS's National Provider Identifier is 1164699609, issued on May 14, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on May 14, 2008.