person
Gina Nicole Bartucca Van Dyken, MSW
Mental Health Counselor in Vancouver, Washington
NPI 1659975787

Gina Nicole Bartucca Van Dyken is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Gina Nicole Bartucca Van Dyken practices in Vancouver, WA and has the professional credentials of MSW. The NPI Number for Gina Nicole Bartucca Van Dyken is 1659975787 and holds a License No. CG61112274 (Washington).

The current practice location address for Gina Nicole Bartucca Van Dyken is 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA and can be reached out via phone at 360-397-8246 and via fax at 360-397-8250.

Location: 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1678
person
Provider Profile Details
NPI Number
1659975787
Provider Name
Gina Nicole Bartucca Van Dyken
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1678
Phone Number
360-397-8246
Fax Number
360-397-8250
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
State
Zip
98661-3717
Phone Number
360-397-8246
Fax Number
360-397-8250
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
State
Zip
98661-3717
Phone Number
360-397-8246
Fax Number
360-397-8250
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG61112274 (Washington)
Definition
Definition to come...
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