person
Jacob Scott Vander Kolk, LLPC
Professional Counselor in Grand Rapids, Michigan
NPI 1982017117

Jacob Scott Vander Kolk is a Professional Counselor based in Jenison, MI and is specialized in Professional. Jacob Scott Vander Kolk practices in Grand Rapids, MI and has the professional credentials of LLPC. The NPI Number for Jacob Scott Vander Kolk is 1982017117 and holds a License No. 6401014202 (Michigan).

The current practice location address for Jacob Scott Vander Kolk is 901 Eastern Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-224-7617.

Location: 901 Eastern Ave Ne, Grand Rapids, MI, 49428-9551
person
Provider Profile Details
NPI Number
1982017117
Provider Name
Jacob Scott Vander Kolk
Credential
LLPC
Provider Entity Type
Individual
Gender
Male
Address
901 Eastern Ave Ne, Grand Rapids, MI, 49428-9551
Phone Number
616-224-7617
Fax Number
Provider Enumeration Date
06/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 Eastern Ave Ne
City
State
Zip
49503-1201
Phone Number
616-224-7617
Fax Number
person
Provider Business Mailing Address Details
Address
901 Eastern Ave Ne
City
State
Zip
49503-1201
Phone Number
616-224-7617
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401014202 (Michigan)
Definition
Definition to come...
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