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Organization

FOCUSED AND BALANCE LIFE THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MIRETZKY (OWNER)
(847) 209-9435
Entity
Organization

Contact information

Practice address
10024 SKOKIE BLVD STE 243, SKOKIE, IL 60077-9945
(224) 255-7581
Mailing address
2726 W JARLATH ST, CHICAGO, IL 60645-1318
(847) 209-9435

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/14/2024
Last updated
05/13/2025
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