NATHAN VANDYKE

SALT LAKE CITY, UT
NPI1154704716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  9148081-6005)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- NATHAN VANDYKE
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
Mailing Address
-- NATHAN VANDYKE
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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