Individual provider · Type 1 NPI

Fiona Madalena Theodoroff, LLPC

Mental Health Counselor · Grand Rapids, MI

NPI number 1689239436 Active

Practice location

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Fax (616) 365-8971

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6451024398 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1689239436

Fiona Madalena Theodoroff, LLPC's National Provider Identifier is 1689239436, issued on May 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 22, 2025.