# MRS. KRISTI JEAN FOWLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447384557
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT-3585 | ID | Yes |
| 106H00000X | Marriage & Family Therapist | MFC 37523 | CA | — |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 02/11/2010

## 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 |