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Individual

MR. SCOTT MATTHEW FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT

Contact information

Practice address
780 PILOT HOUSE DR, SUITE 100A, NEWPORT NEWS, VA 23606-1993
(757) 223-7821
(757) 223-9783
Mailing address
103 MARY BIERBAUER WAY, YORKTOWN, VA 23693-2037
(757) 753-8402
(757) 223-9783

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003208
VA
106H00000X
Marriage & Family Therapist
Primary
0717001125
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010370736
VA
05
010377731
VA
Enumeration date
08/14/2006
Last updated
09/11/2025
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