Individual
MR. DAVID ALAN VANDERWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA/LPC
Contact information
Practice address
6670 KALAMAZOO AVE SE, SUITE D, KENTWOOD, MI 49508-7856
(616) 565-4159
(616) 565-4161
Mailing address
207 SUNNYVIEW DR SW, GRANDVILLE, MI 49418-2129
(616) 457-2277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005560
MI
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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