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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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