Individual
KAMERON WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 3 MILE RD NW STE 200, GRAND RAPIDS, MI 49544-1691
(616) 278-7571
Mailing address
155 CARRIE ST, SPARTA, MI 49345-1148
(616) 278-7571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-25-82192
MI
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
07/27/2018
Last updated
09/04/2025
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