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Individual

JESSICA FOWLER

Active
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Individual

JESSICA FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
009079
PA
101YP2500X
Professional Counselor
Primary
2528
WV
101YP2500X
Professional Counselor
C.1500446
OH
101YP2500X
Professional Counselor
E.1700307
OH

Other

Enumeration date
07/03/2015
Last updated
01/21/2025
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