# CRISTINA FOWLER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689219941
- **Authorized official:** CRISTINA FOWLER MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (406) 603-0211

## Contact information

- **Practice address:** 1305 11TH AVE, HELENA, MT 59601-3919
- **Practice address phone:** (406) 603-0211
- **Mailing address:** 1305 11TH AVE, HELENA, MT 59601-3919
- **Mailing address phone:** (406) 603-0211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2019
- **Last updated:** 08/17/2020