Organization
FOWLER COOPER LMFT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOWLER FAINE COOPER LMFT (PRESIDENT)
(828) 264-9222
Entity
Organization
Contact information
Practice address
895 STATE FARM RD, STE 210, BOONE, NC 28607
(828) 264-9222
(828) 264-1725
Mailing address
895 STATE FARM RD, STE 210, BOONE, NC 28607
(828) 264-9222
(828) 264-1725
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105038
—
NC
Enumeration date
10/02/2006
Last updated
08/22/2020
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