Kristy Dykema

NPI #1548454945 in Carthage, Illinois

Provider Information

NPI Number: 1548454945
Entity Type: Individual
Name: Kristy Dykema
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 607 BUCHANAN ST
City: Carthage
State: Illinois
ZIP Code: 62321-1401
Phone: (217) 357-3176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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