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Diana Lee Fournier
Addiction (Substance Use Disorder) Counselor in Benton Harbor, Michigan
NPI 1245930346

Diana Lee Fournier is an Addiction (Substance Use Disorder) Counselor based in Benton Harbor, MI and is specialized in Addiction (Substance Use Disorder). Diana Lee Fournier practices in Benton Harbor, MI. The NPI Number for Diana Lee Fournier is 1245930346 and holds a License No. (Michigan).

The current practice location address for Diana Lee Fournier is 497 Waukonda Ave, Benton Harbor, MI and can be reached out via phone at 269-926-1284.

Location: 497 Waukonda Ave, Benton Harbor, MI, 49022-3142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245930346
Provider Name
Diana Lee Fournier
Credential
Provider Entity Type
Individual
Gender
Female
Address
497 Waukonda Ave, Benton Harbor, MI, 49022-3142
Phone Number
269-926-1284
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA0110101 05 MI
institution
Provider Business Practice Location Address Details
Address
497 Waukonda Ave
City
Benton Harbor
State
Michigan
Zip
49022-3142
Phone Number
269-926-1284
Fax Number
person
Provider Business Mailing Address Details
Address
497 Waukonda Ave
City
Benton Harbor
State
Michigan
Zip
49022-3142
Phone Number
269-926-1284
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Michigan)
Definition
Definition to come...
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