| NPI | 1073613105 |
|---|---|
| Professional Name | GREGORY ROBERT FOKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 12664) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 654-125) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |