Individual
CARA C CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3535 PARK ST STE 101B, NORTON SHORES, MI 49444-3736
(616) 773-8985
Mailing address
9985 48TH AVE, ALLENDALE, MI 49401-8442
(616) 773-8985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464983
—
MI
01
—
6401017819
PROFESSIONAL COUNSELOR
MI
Enumeration date
05/14/2014
Last updated
12/16/2020
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