Individual provider · Type 1 NPI

Blake Anthony Fowler, APC, NCC

Counselor · Lawrenceville, GA

NPI number 1053097923 Active

Practice location

175 Gwinnet Drive
Lawrenceville, GA 30046

Call (678) 209-2394 Map

Mailing address

337 Osprey Point
Stone Mountain, GA 30087

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XAPC009118 (GA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053097923

Blake Anthony Fowler, APC, NCC's National Provider Identifier is 1053097923, issued on Jun 26, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 26, 2023.