Individual
MRS. CAITLYN HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
3424 CHICAGO DR, HUDSONVILLE, MI 49426-1408
(616) 426-9034
Mailing address
3424 CHICAGO DR, HUDSONVILLE, MI 49426-1408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MI
101YM0800X
Mental Health Counselor
Primary
—
MI
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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