Individual provider · Type 1 NPI

David Waselkow Jr.

Mental Health Counselor · Chandler, AZ

NPI number 1407104078 Active

Practice location

725 S Dobson Rd Ste 100
Chandler, AZ 85224-5676

Fax (602) 795-8701

Mailing address

20280 N 59th Ave Ste 115-617
Glendale, AZ 85308-6850

Other practice locations

  • 3248 Vandever Ave, Pekin, IL 61554-6257 · (309) 347-5579

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC17492 (AZ)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407104078

David Waselkow Jr.'s National Provider Identifier is 1407104078, issued on Aug 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chandler, AZ. The record was last updated on Nov 13, 2020.