Provider Demographics
NPI:1306156047
Name:WOLKEN, KALI JO (LMHC, LPC)
Entity type:Individual
Prefix:MRS
First Name:KALI
Middle Name:JO
Last Name:WOLKEN
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:MISS
Other - First Name:KALI
Other - Middle Name:JO
Other - Last Name:FOUTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:668 BYLSMA DR NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49534-6828
Mailing Address - Country:US
Mailing Address - Phone:616-540-2099
Mailing Address - Fax:
Practice Address - Street 1:668 BYLSMA DR NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49534-6828
Practice Address - Country:US
Practice Address - Phone:616-540-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002494A101YM0800X
MI6401019178101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health