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NPI 1255202438

NPI 1255202438 : ARROWROOT INTEGRATIVE PRACTICE PLLC : NEGAUNEE, MI

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General NPI Number Information
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    NPI Number           |    1255202438
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARROWROOT INTEGRATIVE PRACTICE PLLC 
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Dates
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    Enumeration Date     |    09/12/2025
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    1851 WAGON WHEEL LN 
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    City                 |    NEGAUNEE
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    State                |    MI
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    Zip                  |    49866-9731
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    Country              |    US
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    Telephone            |    906-250-0484
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1851 WAGON WHEEL LN 
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    City                 |    NEGAUNEE
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    State                |    MI
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    Zip                  |    49866-9731
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    Country              |    US
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    Telephone            |    906-250-0484
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JESSICA KAY OLSON 
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    Credential           |    LMSW-C
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    Telephone            |    906-250-0484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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