Individual provider · Type 1 NPI

Mallory Vredeveld, M.A., L.P.C

Counselor · Jackson, MI

NPI number 1831536051 Active

Practice location

1200 N West Ave
Jackson, MI 49202-2179

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401012772 (MI)

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 1831536051

Mallory Vredeveld, M.A., L.P.C's National Provider Identifier is 1831536051, issued on May 29, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, MI. The record was last updated on Apr 23, 2026.