Individual
JAIMIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
11140 ROCKVILLE PIKE STE 400, ROCKVILLE, MD 20852-3104
(240) 427-5547
Mailing address
11140 ROCKVILLE PIKE STE 400, ROCKVILLE, MD 20852-3104
(240) 427-5547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7688
MD
Other
Enumeration date
12/12/2017
Last updated
12/19/2017
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