Individual
BEVERLY LYNN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, AADC
Contact information
Practice address
2337 3RD AVE N, LEWISTON, ID 83501-1625
(509) 444-8200
(509) 434-0392
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5685
ID
Other
Enumeration date
09/09/2019
Last updated
06/05/2025
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