Individual
KAITLIN ELIZABETH VREDEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016417
MI
247200000X
Other Technician
—
—
Other
Enumeration date
09/23/2016
Last updated
05/16/2019
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