Individual
MALLORY VREDEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 796-4564
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 796-4564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012772
MI
Other
Enumeration date
05/29/2013
Last updated
04/23/2026
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