person
Dorris H Van Dyke, LPCC
Professional Counselor in Paducah, Kentucky
NPI 1538222328

Dorris H Van Dyke is a Professional Counselor based in Paducah, KY and is specialized in Professional. Dorris H Van Dyke practices in Paducah, KY and has the professional credentials of LPCC. The NPI Number for Dorris H Van Dyke is 1538222328 and holds a License No. 104255 (Kentucky).

The current practice location address for Dorris H Van Dyke is 425 Broadway St, Paducah, KY and can be reached out via phone at 240-442-7121.

Location: 425 Broadway St, Paducah, KY, 45200
person
Provider Profile Details
NPI Number
1538222328
Provider Name
Dorris H Van Dyke
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
425 Broadway St, Paducah, KY, 45200
Phone Number
240-442-7121
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KY-0571 01 KY LPCC
institution
Provider Business Practice Location Address Details
Address
425 Broadway St
City
State
Zip
42001-0713
Phone Number
240-442-7121
Fax Number
person
Provider Business Mailing Address Details
Address
425 Broadway St
City
State
Zip
42001-0713
Phone Number
240-442-7121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
104255 (Kentucky)
Definition
Definition to come...
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