Individual provider · Type 1 NPI
Grace Vandahlen
Mental Health Counselor · New York, NY
NPI number
1356004873
Active
Practice location
103 Macdougal St Apt 14
New York, NY 10012-1216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P112248 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1356004873
Grace Vandahlen's National Provider Identifier is 1356004873, issued on Oct 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Oct 21, 2021.