Individual provider · Type 1 NPI

Caitlyn Waller

Professional Counselor · Grand Rapids, MI

NPI number 1831821842 Active

Practice location

2020 Raybrook St SE
Grand Rapids, MI 49546-7717

Call (616) 202-4444 Map

Mailing address

1522 Cole Ave NE Apt 2
Grand Rapids, MI 49505-5027

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6451022295 (MI)

Professional Counselor: Definition to come...

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About NPI 1831821842

Caitlyn Waller's National Provider Identifier is 1831821842, issued on Jun 28, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 13, 2022.