Individual provider · Type 1 NPI

David Alan Vanderwal, MA/LPC

Professional Counselor · Kentwood, MI

NPI number 1104004712 Active

Practice location

6670 Kalamazoo Ave SE, Suite D
Kentwood, MI 49508-7856

Call (616) 565-4159 Map

Fax (616) 565-4161

Mailing address

207 Sunnyview Dr SW
Grandville, MI 49418-2129

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401005560 (MI)

Professional Counselor: Definition to come...

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About NPI 1104004712

David Alan Vanderwal, MA/LPC's National Provider Identifier is 1104004712, issued on Feb 6, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kentwood, MI. The record was last updated on Feb 6, 2008.