Healthcare Provider Details

I. General information

NPI: 1124870928
Provider Name (Legal Business Name): CAITLIN MARIE FOURNIER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HANCOCK ST
SAGINAW MI
48602-4224
US

IV. Provider business mailing address

1613 BIRNEY ST
SAGINAW MI
48602-2825
US

V. Phone/Fax

Practice location:
  • Phone: 989-272-7203
  • Fax: 989-964-5604
Mailing address:
  • Phone: 989-598-0911
  • Fax: 989-964-5604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401226173
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: