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NPI 1790636595

NPI 1790636595 : FOCUS FORWARD THERAPY : ISHPEMING, MI

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General NPI Number Information
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    NPI Number           |    1790636595
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOCUS FORWARD THERAPY 
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Dates
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    Enumeration Date     |    02/06/2026
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    308 CLEVELAND AVE STE 114 
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    City                 |    ISHPEMING
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    State                |    MI
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    Zip                  |    49849-1842
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    Country              |    US
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    Telephone            |    906-631-7507
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    308 CLEVELAND AVE STE 114 
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    City                 |    ISHPEMING
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    State                |    MI
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    Zip                  |    49849-1842
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    Country              |    US
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    Telephone            |    906-631-7507
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MENTAL HEALTH COUNSELOR
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    Name                 |     ANNA-LIISA  KAUTZ 
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    Credential           |    LLPC
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    Telephone            |    906-631-7507
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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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