Individual provider · Type 1 NPI
Lynda Fourman, CADAC IV
Addiction (Substance Use Disorder) Counselor · Goshen, IN
NPI number
1609102656
Active
Practice location
330 Lakeview Dr
Goshen, IN 46528-9365
Fax (574) 537-2652
Mailing address
PO Box 809
Goshen, IN 46527-0809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609102656
Lynda Fourman, CADAC IV's National Provider Identifier is 1609102656, issued on Oct 27, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Goshen, IN. The record was last updated on Oct 27, 2009.