Healthcare Provider Details

I. General information

NPI: 1700266053
Provider Name (Legal Business Name): KATHRYN FOUCHEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 N BARLOW RD
HARRISVILLE MI
48740
US

IV. Provider business mailing address

1035 W WASHINGTON AVE
ALPENA MI
49707-2929
US

V. Phone/Fax

Practice location:
  • Phone: 989-736-8716
  • Fax: 989-358-3776
Mailing address:
  • Phone: 989-736-9815
  • Fax: 989-358-3734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401014759
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: