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General NPI Number Information
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NPI Number | 1902223514
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Entity Type | Individual
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Provider Name | AMY CARNES
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Gender | Female
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/16/2025
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Provider Practice Location Address
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Address Line | 612 W ADAMS ST RM 308
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City | IRON RIVER
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State | MI
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Zip | 49935-1322
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Country | US
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Telephone | 906-359-8395
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 176
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City | IRON RIVER
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State | MI
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Zip | 49935-0176
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Country | US
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Telephone | 906-359-8395
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 92843
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1380-124
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 113141
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1380-124
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 41010027294
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License Number State | MI
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