Individual
HEATHER FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LCMHC
Contact information
Practice address
2386 E ASPEN HILLS PL, SANDY, UT 84092-1250
(801) 209-6691
Mailing address
2386 E ASPEN HILLS PL, SANDY, UT 84092
(801) 209-6691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67794386009
UT
101YM0800X
Mental Health Counselor
CP0249
NV
Other
Enumeration date
10/01/2009
Last updated
10/30/2024
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