DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH GEORGE FOURNIER, LICSW

Active

MR. KENNETH GEORGE FOURNIER, LICSW is a Clinical Social Worker healthcare provider located in PRESCOTT, Arizona. NPI 1003170838 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PRESCOTT, AZ

Registration Details

NPI Number
1003170838
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2012 (14.095594038645 yrs)
Last Updated
Jun 26, 2012
Licenses
5416 (MN)
13543 (AZ)

Practice Information

Address
500 N US HIGHWAY 89
PRESCOTT, AZ, 863135001
Browse AZ providers · Browse ZIP 86313
Phone
9284454860
Fax
9287766116
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PRESCOTT, AZ

Name Credential NPI
STACY E MASTEN M.S.W., L.C.S.W. 1104829589
MS. ALEXANDRA L CASSIDY LCSW 1164404695
MS. LAURIE KATON LCSW 1861470056
MS. LISA A LAHAIE LCSW 1568435840
DEBRA K ROCK LCSW 1891744413
MELISSA L DAVIS MSW 1467404962
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.