ARDEAN BETH BROCK-VANDERWALL M.DIV. M.A. NPI 1013147495

NPI Information

Ardean Beth Brock-vanderwall, M.DIV., M.A. is a professional counselor in Grand Rapids, MI. Ardean Beth Brock-vanderwall, M.DIV., M.A. NPI is 1013147495. 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:

2828 KRAFT AVE.
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 949-9550
Fax: (616) 949-9551

The enumeration date for this NPI number is 7/20/2009 and was last updated on 10/26/2015.

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:

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