MR. DAVID ALAN VANDERWAL MA/LPC NPI 1104004712

NPI Information

  • NPI: 1104004712
  • Provider Name: MR. DAVID ALAN VANDERWAL, MA/LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 6670 KALAMAZOO AVE SE
    SUITE D
    KENTWOOD, MI
    ZIP 49508
  • Phone: (616) 565-4159

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NPI Details

MR. David Alan Vanderwal, MA/LPC is a professional counselor in Kentwood, MI. MR. David Alan Vanderwal, MA/LPC NPI is 1104004712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6670 KALAMAZOO AVE SE
SUITE D
KENTWOOD, MI
ZIP 49508-856
Phone: (616) 565-4159
Fax: (616) 565-4161

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional6401005560MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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