Individual provider · Type 1 NPI

Gina Nicole Bartucca Van Dyken, MSW

Mental Health Counselor · Vancouver, WA

NPI number 1659975787 Active

Practice location

1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717

Fax (360) 397-8250

Mailing address

PO Box 1678
Vancouver, WA 98668-1678

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG61112274 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1659975787

Gina Nicole Bartucca Van Dyken, MSW's National Provider Identifier is 1659975787, issued on Nov 30, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Nov 30, 2020.