Individual
JAMES MICHAEL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC, BCPCC
Contact information
Practice address
137 PROMINENCE CT, SUITE 220, DAWSONVILLE, GA 30534-8953
(706) 216-4735
(706) 216-7909
Mailing address
137 PROMINENCE CT, SUITE 220, DAWSONVILLE, GA 30534-8953
(706) 216-4735
(706) 216-7909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004310
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406922506A
—
GA
Enumeration date
04/09/2008
Last updated
12/16/2014
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