| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VICTOR VANDEWAL | 1841899317 | 2020-10-25 |
Victor Vandewal is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841899317. Registration indicates Victor Vandewal is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Mr. Victor Vandewal |
| Practice Office Address | 11-21 BROADWAY ST GLOVERSVILLE, NY US |
| Practice Office Telephone | 5187254310 |
| Practice Office Fax | 5187252556 |
| Mailing Address | 11-21 BROADWAY ST GLOVERSVILLE, NY 120783968 US |
| Business Telephone | 5187254310 |
| Business Fax | 5187252556 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |
NY |