Individual
ABBEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
630 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546-8626
(616) 320-1711
Mailing address
4524 MORNINGSIDE DR SE, KENTWOOD, MI 49512-5336
(616) 745-5402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024392
MI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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