person
Mark Van Dyke, SAC-IT
Addiction (Substance Use Disorder) Counselor in Beloit, Wisconsin
NPI 1740987577

Mark Van Dyke is an Addiction (Substance Use Disorder) Counselor based in Beloit, WI and is specialized in Addiction (Substance Use Disorder). Mark Van Dyke practices in Beloit, WI and has the professional credentials of SAC-IT. The NPI Number for Mark Van Dyke is 1740987577 and holds a License No. 20079-130 (Wisconsin).

The current practice location address for Mark Van Dyke is 2240 Prairie Ave, Beloit, WI and can be reached out via phone at 608-361-7200.

Location: 2240 Prairie Ave, Beloit, WI, 53511-2648
person
Provider Profile Details
NPI Number
1740987577
Provider Name
Mark Van Dyke
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
2240 Prairie Ave, Beloit, WI, 53511-2648
Phone Number
608-361-7200
Fax Number
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2240 Prairie Ave
City
State
Zip
53511-2648
Phone Number
608-361-7200
Fax Number
person
Provider Business Mailing Address Details
Address
2240 Prairie Ave
City
State
Zip
53511-2648
Phone Number
608-361-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20079-130 (Wisconsin)
Definition
Definition to come...
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