Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Robin Van der Mallie, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669972998

Daniel Robin Van der Mallie, CDCA is an Addiction (Substance Use Disorder) Counselor in Waverly, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

14574 US Highway 23
Waverly, OH 45690-9373
Phone: (740) 912-9126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.162705 (OH)

Record details

NPI number1669972998
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedFebruary 13, 2018
Last updated in NPPESFebruary 13, 2018
Mailing address1725 Charles St, Portsmouth, OH 45662-4639

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