Individual provider · Type 1 NPI

Jonathan Mulder

Professional Counselor · Grand Rapids, MI

NPI number 1194182469 Active

Practice location

4829 E Beltline Ave NE, Suite 103
Grand Rapids, MI 49525-9747

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401010812 (MI)

Professional Counselor: Definition to come...

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About NPI 1194182469

Jonathan Mulder's National Provider Identifier is 1194182469, issued on Jan 18, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 18, 2016.