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Individual
JESSICA FOWLER
Active
Individual
JESSICA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMFT-S, LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1800520-SUPV
OH
106H00000X
Marriage & Family Therapist
F.1800035-SUPV
OH
Other
Enumeration date
12/07/2016
Last updated
01/23/2020
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