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

David Waselkow Jr.

Individual provider Mental Health Counselor · NPI 1407104078

David Waselkow Jr. is a Mental Health Counselor in Chandler, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

725 S Dobson Rd Ste 100
Chandler, AZ 85224-5676
Phone: (602) 795-8700
Fax: (602) 795-8701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3248 Vandever Ave, Pekin, IL 61554-6257 — (309) 347-5579

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC17492 (AZ)

Record details

NPI number1407104078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020

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