Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ardean Beth Brock-Vanderwall, MDIV, MA

Individual provider Professional Counselor · NPI 1013147495

Ardean Beth Brock-Vanderwall, MDIV, MA is a Professional Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2828 Kraft Ave
Grand Rapids, MI 49512
Phone: (616) 949-9550
Fax: (616) 949-9551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401011131 (MI)

Record details

NPI number1013147495
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV , MA
Sole proprietorNo
NPI enumeratedJuly 20, 2009
Last updated in NPPESOctober 26, 2015

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