Van Dyke, Jill Renee
Van Dyke, Jill Renee is an individual health care provider with primary practice located at 161 W 3Rd St Ste 100 , Prosper TX 75078-2906. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Van Dyke, Jill Renee can be contacted via phone (214) 618-8402.Contact Information
Primary practice address
161 W 3Rd St Ste 100
Prosper TX 75078-2906
Phone: (214) 618-8402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 84925 | Texas |
Profile Details
| NPI number | 1962173005 |
|---|---|
| LBN Legal business name | Van Dyke, Jill Renee |
| Credentials | LPC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2021 |
| Last updated | Sep 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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