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Individual

CORY DOUGLAS FOURNIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA-CMHC

Contact information

Practice address
57340 ALPHA DR, GOSHEN, IN 46528-7808
(574) 319-4308
Mailing address
57340 ALPHA DR, GOSHEN, IN 46528-7808
(574) 319-4308

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/07/2023
Last updated
06/07/2023
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