Individual
MS. KAITLYN P FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1300 YORK RD BLDG A, TIMONIUM, MD 21093-6016
(410) 498-7624
Mailing address
6405 DORAL DR APT A, BALTIMORE, MD 21209-3060
(443) 802-8038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14110
MD
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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