Individual
TERESA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15173 NORTH RD, FENTON, MI 48430-1381
(810) 428-7909
Mailing address
15173 NORTH RD, FENTON, MI 48430-1381
(810) 428-7909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225C00000X
Rehabilitation Counselor
6401009621
MI
Other
Enumeration date
09/14/2021
Last updated
03/06/2025
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