Individual
MRS. COURTNEY KAY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
607 RUSSELL PKWY STE A, WARNER ROBINS, GA 31088-7690
(478) 225-9060
(478) 225-9861
Mailing address
607 RUSSELL PKWY STE A, WARNER ROBINS, GA 31088-7690
(478) 225-9060
(478) 225-9861
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
604
GA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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