Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Van Dyke, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1740987577

Mark Van Dyke, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Beloit, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
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Practice location Address checks out

2240 Prairie Ave
Beloit, WI 53511-2648
Phone: (608) 361-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20079-130 (WI)

Record details

NPI number1740987577
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorYes
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023
Mailing address2240 Prairie Ave, Beloit, WI 53511-2648

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