NPI 1003170838

Kenneth George Fournier, LICSW

Practitioner Clinical Social Worker Prescott, AZ

Practice location

Address: 500 N US Highway 89, Prescott, AZ 86313-5001
Phone: (928) 445-4860
Fax: (928) 776-6116
Mailing address: 500 N. Highway 89, Prescott, AZ 86313-0000

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 5416 (MN)

Other Social Worker providers in Arizona →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 13543 (AZ)

Registry record

NPI: 1003170838
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2012
Record last updated: 26 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.