Individual
CHRISTINA LOUISE FOURNIER-SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731
(828) 692-6178
(828) 692-2365
Mailing address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-2365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C003814
NC
1041C0700X
Clinical Social Worker
Primary
C003814
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C003814
LICENSED CLINICAL SOCIAL WORKER
NC
Enumeration date
11/02/2017
Last updated
08/17/2022
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