Individual
JESSICA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3203 PENNSYLVANIA AVE STE 1, WEIRTON, WV 26062-3852
(304) 810-2657
Mailing address
3203 PENNSYLVANIA AVE STE 1, WEIRTON, WV 26062-3852
(304) 810-2657
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
009079
PA
101YP2500X
Professional Counselor
Primary
2528
WV
101YP2500X
Professional Counselor
C.1500446
OH
101YP2500X
Professional Counselor
E.1700307
OH
Other
Enumeration date
07/03/2015
Last updated
01/21/2025
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