Individual
DR. SHELLY FRAZIER FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC, NCSC
Contact information
Practice address
506 S DEER CREEK DR W, LELAND, MS 38756-3132
(662) 686-0223
Mailing address
506 S DEER CREEK DR W, LELAND, MS 38756-3132
(662) 686-0223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
995
MS
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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