Individual
KATHRYN WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3785 VETERANS DR, TRAVERSE CITY, MI 49684-4516
(231) 946-8975
(231) 946-0451
Mailing address
3785 VETERANS DR, TRAVERSE CITY, MI 49684-4516
(231) 946-8975
(231) 946-0451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005247
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401005247
PROFESSIONAL COUNSELOR LICENSE
MI
Enumeration date
02/05/2016
Last updated
02/05/2016
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