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Individual

KATIE FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.C.

Contact information

Practice address
112 ALLIE YOUNG HALL , 150 UNIVERSITY BLVD, MOREHEAD, KY 40351-1684
(606) 783-2055
(606) 783-9106
Mailing address
112 ALLIE YOUNG HALL, 150 UNIVERSITY BLVD., MOREHEAD, KY 40351
(606) 783-2055
(606) 783-9106

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
172237
KY
101YP2500X
Professional Counselor
Primary
172237
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100446730
KY
Enumeration date
02/27/2015
Last updated
07/21/2022
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