Individual
MELISSA FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
233 OIL WELL RD STE C, JACKSON, TN 38305-8014
(731) 660-8467
(731) 660-8495
Mailing address
200 N CAROLINA AVE, HENDERSON, TN 38340-2102
(731) 660-8467
(731) 660-8495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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