Individual
KAITLYN MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
(616) 259-7207
Mailing address
119 FULLER AVE SE APT B, GRAND RAPIDS, MI 49506-1635
(910) 875-3588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023290
MI
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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