Individual
MS. COURTNEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC, CRC
Contact information
Practice address
701 TILLERY ST STE 12, AUSTIN, TX 78702-3751
(512) 703-0756
Mailing address
PO BOX 141711, AUSTIN, TX 78714-1711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
84573
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
14879
TX
225C00000X
Rehabilitation Counselor
00306515
—
Other
Enumeration date
06/16/2019
Last updated
04/27/2025
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