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Brian Howard Vandyke
Mental Health Counselor in Vancouver, Washington
NPI 1992009633

Brian Howard Vandyke is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Brian Howard Vandyke practices in Vancouver, WA. The NPI Number for Brian Howard Vandyke is 1992009633 and holds a License No. CG60154427 (Washington).

The current practice location address for Brian Howard Vandyke is 1104 Main St Ste 500, Vancouver, WA and can be reached out via phone at 360-695-1014 and via fax at 360-750-1374.

Location: 1104 Main St Ste 500, Vancouver, WA, 98660-2972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992009633
Provider Name
Brian Howard Vandyke
Credential
Provider Entity Type
Individual
Gender
Male
Address
1104 Main St Ste 500, Vancouver, WA, 98660-2972
Phone Number
360-695-1014
Fax Number
360-750-1374
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1104 Main St Ste 500
City
Vancouver
State
Washington
Zip
98660-2972
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider Business Mailing Address Details
Address
1104 Main St Ste 500
City
Vancouver
State
Washington
Zip
98660-2972
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG60154427 (Washington)
Definition
Definition to come...
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