| NPI | 1134962970 |
|---|---|
| Professional Name | KEITH FOURNIER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-71362) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |