Individual provider · Type 1 NPI

Audrey Joy-Baker Vander Wal, MA, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1396351995 Active

Practice location

2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426

Fax (616) 333-7685

Mailing address

184 Glendale St
Holland, MI 49423-3031

Other practice locations

  • 648 Monroe Ave NW Ste 100, Grand Rapids, MI 49503-6714 · (616) 916-3711
  • 4175 Parkway Place Dr SW Ste 100, Grandville, MI 49418-2382 · (616) 371-5166

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401223152 (MI)

Professional Counselor: Definition to come...

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About NPI 1396351995

Audrey Joy-Baker Vander Wal, MA, LPC's National Provider Identifier is 1396351995, issued on Sep 18, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 26, 2024.