Mr. Kenneth George Fournier
Clinical Social Worker
500 N Us Highway 89
Prescott
, Arizona 86313-5001
Mr. Kenneth George Fournier
Clinical Social Worker
500 N Us Highway 89
Prescott
, Arizona 86313-5001
(928) 445-6116
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Kenneth George Fournier
- 500 N. Highway 89
- Prescott, AZ
- Zip : 86313-0000
- Fax : (928) 445-6116
- Phone : (928) 445-4860
Second Address
- Mr. Kenneth George Fournier
- 500 N Us Highway 89
- Prescott, AZ
- Zip : 86313-5001
- Fax : (928) 776-6116
- Phone : (928) 445-4860
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1041C0700X | Clinical Social Worker | 13543 | AZ |
| Y | 1041C0700X | Clinical Social Worker | 5416 | MN |
National Provider Identifier
| NPI | 1003170838 |
|---|---|
| Provider Name | Mr. Kenneth George Fournier |
| First Address | Prescott, AZ 86313-0000 |
| Second Address | Prescott, AZ 86313-5001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2012 |
| Last Update Date | 26/06/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.