Organization
CARA C. CAMP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARA C CAMP MA LPC (CLINICAL DIRECTOR)
(616) 426-1784
Entity
Organization
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
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401017819
PROFESSIONAL COUNSELOR
MI
Enumeration date
08/31/2020
Last updated
12/16/2020
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