Individual provider · Type 1 NPI

Sophia Dykstra, LPC, NCC, CAADC

Counselor · Grand Rapids, MI

NPI number 1649606716 Active

Practice location

3300 36th St SE
Grand Rapids, MI 49512-2810

Call (616) 942-2110 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor 101YP2500XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649606716

Sophia Dykstra, LPC, NCC, CAADC's National Provider Identifier is 1649606716, issued on Sep 20, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 6, 2022.