| Doctor Name: | MR. PAUL D. FOUCAULT |
| NPI Number: | 1104970763 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC |
| License Number: | 6401001846 |
| Business Practice Address: | 8 W Genesee St Iron River, MI - 499351435 |
| Business Phone Number: | 9062654428 |
| Business Fax Number: | 9062654595 |
| Mailing Address: | 720 Erie Ave, CRYSTAL FALLS |
| State: | MI |
| Postal Code: | 499201111 |
| Phone Number: | 9062654428 |
| Fax Number: | 9062654595 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401001846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |