Individual
KIONA MARIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
118 N MAIN ST, ALTUS, OK 73521-3102
(580) 477-1212
Mailing address
118 N MAIN ST, ALTUS, OK 73521-3102
(580) 477-1212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
12/05/2014
Last updated
12/30/2016
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