Individual
MICHAEL WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3424 CHICAGO DR STE 205, HUDSONVILLE, MI 49426-1411
(616) 426-9034
Mailing address
3424 CHICAGO DR STE 205, HUDSONVILLE, MI 49426-1411
(616) 426-9034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015482
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730530569
—
MI
Enumeration date
06/22/2016
Last updated
12/27/2021
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