Individual
MATTHEW FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LPCC-S
Contact information
Practice address
220 FRANKFORT ST STE 1, VERSAILLES, KY 40383
(859) 753-7196
(859) 214-4498
Mailing address
220 FRANKFORT ST STE 1, VERSAILLES, KY 40383-1079
(859) 753-7196
(859) 214-4498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
164566
KY
101YP2500X
Professional Counselor
LPCPCC00225355
KY
Other
Enumeration date
04/17/2014
Last updated
08/08/2018
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