Individual
ANDREA FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 CANDLEWOOD CT, LYNCHBURG, VA 24502-2653
(434) 258-0591
Mailing address
105 STONEMILL DR APT L, LYNCHBURG, VA 24502-2049
(734) 725-9135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0730000707
VA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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