person
Jeffery A Vandyke, CAS
Addiction (Substance Use Disorder) Counselor in Lake Elsinore, California
NPI 1437283785

Jeffery A Vandyke is an Addiction (Substance Use Disorder) Counselor based in Lake Elsinore, CA and is specialized in Addiction (Substance Use Disorder). Jeffery A Vandyke practices in Lake Elsinore, CA and has the professional credentials of CAS. The NPI Number for Jeffery A Vandyke is 1437283785 and holds a License No. 01-035088 (California).

The current practice location address for Jeffery A Vandyke is 565 Chaney St, Lake Elsinore, CA and can be reached out via phone at 951-674-5354 and via fax at 951-674-5227. You can also correspond with Jeffery A Vandyke through the mailing address at 565 CHANEY ST, LAKE ELSINORE, CA - 92530-2722 (mailing address contact number: 951-674-5354).

Location: 565 Chaney St, Lake Elsinore, CA, 92530-2722
person
Provider Profile Details
NPI Number
1437283785
Provider Name
Jeffery A Vandyke
Credential
CAS
Provider Entity Type
Individual
Gender
Male
Address
565 Chaney St, Lake Elsinore, CA, 92530-2722
Phone Number
951-674-5354
Fax Number
951-674-5227
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
565 Chaney St
City
State
Zip
92530-2722
Phone Number
951-674-5354
Fax Number
951-674-5227
person
Provider Business Mailing Address Details
Address
565 Chaney St
City
State
Zip
92530-2722
Phone Number
951-674-5354
Fax Number
951-674-5227
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
01-035088 (California)
Definition
Definition to come...
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