Individual
MRS. DONNA KAY VANDER KODDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5242 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49525
(616) 236-3281
(616) 734-6205
Mailing address
5242 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49525
(616) 236-3281
(616) 734-6205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MI
101YP2500X
Professional Counselor
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VS0079950
—
MI
Enumeration date
08/15/2016
Last updated
09/25/2019
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