Individual
MRS. KATHY MARIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
1385 HARKEE DR, FLORISSANT, MO 63031-3434
(314) 831-1533
(314) 831-1391
Mailing address
1108 LOVELAND DR, FLORISSANT, MO 63031-4212
(314) 503-7530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007015599
MO
Other
Enumeration date
08/26/2009
Last updated
11/23/2010
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