Individual provider · Type 1 NPI

Kristy Dykema

Mental Health Counselor · Carthage, IL

NPI number 1548454945 Active

Practice location

607 Buchanan St
Carthage, IL 62321-1401

Call (217) 357-3176 Map

Mailing address

201 N Charleston Blvd, Apartment 5
Macomb, IL 61455-3615

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548454945

Kristy Dykema's National Provider Identifier is 1548454945, issued on Aug 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carthage, IL. The record was last updated on Aug 29, 2007.