MR. David Alan Vanderwal, MA/LPC

NPI #1104004712 in Kentwood, Michigan

Provider Information

NPI Number
1104004712
Entity Type
Individual
Name
MR. David Alan Vanderwal, MA/LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA/LPC
Enumeration Date
Feb 6, 2008
Last Updated
Feb 6, 2008

Practice Location

Address
6670 KALAMAZOO AVE SE
Address 2
SUITE D
ZIP Code
49508-7856
Phone
(616) 565-4159

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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