Individual
MR. CHESTER ALLEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
678 TOM BREWER RD, LOGANVILLE, GA 30052-4005
(770) 554-3599
(770) 554-3514
Mailing address
678 TOM BREWER RD, LOGANVILLE, GA 30052-4005
(770) 554-3599
(770) 554-3514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005585
GA
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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