Individual
BRIDGET FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC ASSOCIATE
Contact information
Practice address
1621 W 6TH ST, AUSTIN, TX 78703-5059
(512) 705-2847
Mailing address
1509 PASADENA DR, AUSTIN, TX 78757-1839
(512) 705-2847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
85073
TX
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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