Individual
EBONY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10999 RED RUN BLVD, STE 205 #181, OWINGS MILLS, MD 21117
(434) 267-6204
Mailing address
10999 RED RUN BLVD, STE 205 #181, OWINGS MILLS, MD 21117
(443) 267-6204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MD
Other
Enumeration date
04/03/2019
Last updated
08/04/2021
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