Individual provider · Type 1 NPI
Mathijs Jonathan Laurens Dijkstra
Addiction (Substance Use Disorder) Counselor · Oshkosh, WI
NPI number
1811753221
Active
Practice location
220 Washington Ave
Oshkosh, WI 54901-5030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20301-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811753221
Mathijs Jonathan Laurens Dijkstra's National Provider Identifier is 1811753221, issued on Feb 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oshkosh, WI. The record was last updated on Feb 23, 2024.