Individual
AUSTIN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 CHURCH ST NE STE 350, MARIETTA, GA 30060-8642
(770) 425-8275
Mailing address
127 CHURCH ST NE STE 350, MARIETTA, GA 30060-8642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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