Individual
KAITLIN VANWORMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLC
Contact information
Practice address
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546-8624
(616) 200-4433
Mailing address
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546-8624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024319
MI
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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