Individual
ERIN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
620 N STATE ROUTE 31, CRYSTAL LAKE, IL 60012-3714
(815) 261-3450
Mailing address
5401 W DARTMOOR DR APT D, MCHENRY, IL 60050-5123
(815) 546-4945
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
31110
IL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149.025287
IL
Other
Enumeration date
01/09/2020
Last updated
10/30/2023
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