Individual
MR. GERALD STANLEY FOUCHEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6633 STONY CREEK RD, YPSILANTI, MI 48197-6609
(734) 485-8725
(734) 485-6103
Mailing address
1317 LAUREL VIEW DR, ANN ARBOR, MI 48105-9411
(734) 255-8336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2-01418
—
MI
05
—
201418
—
MI
Enumeration date
08/08/2022
Last updated
08/08/2022
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