Individual
CODY FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
225 N MICHIGAN AVE, CHICAGO, IL 60601-7757
(774) 214-8076
Mailing address
283 WILLIAMS CROSSING RD, COVENTRY, RI 02827-1531
(774) 214-8076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
126216
MA
Other
Enumeration date
02/02/2016
Last updated
03/02/2023
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