Individual
MR. DAVID UITDEFLESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
2828 KRAFT AVE SE STE 186, GRAND RAPIDS, MI 49512-2076
(616) 949-9550
(616) 949-9551
Mailing address
2828 KRAFT AVE SE STE 186, GRAND RAPIDS, MI 49512-2076
(616) 949-9550
(616) 949-9551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
101YM0800X
Mental Health Counselor
—
MI
103TC0700X
Clinical Psychologist
Primary
6361001214
MI
Other
Enumeration date
03/13/2007
Last updated
01/31/2025
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