Individual
JENNIFER ANNE DURHAM-FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25 MAIN STREET, STOCKBRIDGE, MA 01262-0962
(413) 931-5279
Mailing address
PO BOX 962, STOCKBRIDGE, MA 01262-0962
(413) 931-5279
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/27/2012
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