Individual
ANGELA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 CONNECTICUT ST, MERRILLVILLE, IN 46410-6647
(219) 525-3495
(219) 472-0934
Mailing address
8601 CONNECTICUT ST, MERRILLVILLE, IN 46410-6647
(219) 525-3495
(219) 472-0934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001659A
IN
Other
Enumeration date
02/08/2016
Last updated
08/21/2023
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