Individual provider · Type 1 NPI
Victoria Rose Feddema
Mental Health Counselor · Grand Rapids, MI
NPI number
1104515378
Active
Practice location
420 Plymouth Ave NE # 6028
Grand Rapids, MI 49505-6028
Mailing address
1616 Boston St SE
Grand Rapids, MI 49506-4415
Other practice locations
- 2013 Eastcastle Dr SE # 6028, Grand Rapids, MI 49508-8873 · (616) 888-1120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104515378
Victoria Rose Feddema's National Provider Identifier is 1104515378, issued on May 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on May 3, 2023.