Individual provider · Type 1 NPI

Paula Marie Von Der Heide, LAPC

Mental Health Counselor · Valdosta, GA

NPI number 1609963602 Active

Practice location

206 S Patterson St
Valdosta, GA 31601-5668

Mailing address

1018 Hillside Dr
Valdosta, GA 31601-4309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1017 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1609963602

Paula Marie Von Der Heide, LAPC's National Provider Identifier is 1609963602, issued on Oct 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valdosta, GA. The record was last updated on Jul 8, 2007.