Individual provider · Type 1 NPI

Jacob Scott Vander Kolk, LLPC

Professional Counselor · Grand Rapids, MI

NPI number 1982017117 Active

Practice location

901 Eastern Ave NE
Grand Rapids, MI 49503-1201

Call (616) 224-7617 Map

Mailing address

8714 Honeybrook Ct
Jenison, MI 49428-9551

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401014202 (MI)

Professional Counselor: Definition to come...

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About NPI 1982017117

Jacob Scott Vander Kolk, LLPC's National Provider Identifier is 1982017117, issued on Jun 5, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 5, 2014.