Individual
HEATHER EILEEN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
1212 E KIRK ST, HUGO, OK 74743-3607
(580) 326-5279
(580) 326-8047
Mailing address
1212 E KIRK ST, HUGO, OK 74743-3607
(580) 326-5279
(580) 326-8047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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