AUDREY JOY-BAKER VANDER WAL MA LPC NPI 1396351995

NPI Information

NPI: 1396351995
Provider Name: AUDREY JOY-BAKER VANDER WAL, MA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2305 E PARIS AVE SE STE 203
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 816-1758
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Audrey Joy-baker Vander Wal, MA, LPC is a professional counselor in Grand Rapids, MI. Audrey Joy-baker Vander Wal, MA, LPC NPI is 1396351995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2305 E PARIS AVE SE STE 203
GRAND RAPIDS, MI
ZIP 49546-426
Phone: (616) 816-1758
Fax: (616) 333-7685

The enumeration date for this NPI number is 9/18/2020 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401223152	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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