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Individual
MRS. KRISTI JEAN FOWLER
Active
Individual
MRS. KRISTI JEAN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-3585
ID
106H00000X
Marriage & Family Therapist
MFC 37523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007224
UNITED BEHAVIORAL HEALTH
ID
01
—
000010155785
REGENCE BLUE SHIELD
ID
01
—
11653580
CAQH
ID
01
—
2349596
CIGNA
ID
01
—
Q7411
BLUE CROSS OF IDAHO
ID
Enumeration date
03/14/2007
Last updated
02/11/2010
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