Individual provider · Type 1 NPI
Ardean Beth Brock-Vanderwall, M.DIV., M.A.
Professional Counselor · Grand Rapids, MI
NPI number
1013147495
Active
Practice location
2828 Kraft Ave.
Grand Rapids, MI 49512
Fax (616) 949-9551
Mailing address
3208 Woodberry Drive
Grand Rapids, MI 49512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401011131 (MI) |
Professional Counselor: Definition to come...
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About NPI 1013147495
Ardean Beth Brock-Vanderwall, M.DIV., M.A.'s National Provider Identifier is 1013147495, issued on Jul 20, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 26, 2015.