Caitlyn Waller
Caitlyn Waller is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 4
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
2020 Raybrook St SEGrand Rapids, MI 49546-7717
Phone: (616) 202-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 6451022295 (MI) |
|---|
Record details
| NPI number | 1831821842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2022 |
| Last updated in NPPES | July 13, 2022 |
| Certification date | July 13, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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