Provider Demographics
NPI:1780435404
Name:VANARMAN, CAITLYN K
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:K
Last Name:VANARMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 SEYMOUR AVE APT B
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3574
Mailing Address - Country:US
Mailing Address - Phone:517-539-2313
Mailing Address - Fax:
Practice Address - Street 1:5093 E BROOKFIELD DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4772
Practice Address - Country:US
Practice Address - Phone:989-640-7610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical