Individual provider · Type 1 NPI

Derrick Fowler

Addiction (Substance Use Disorder) Counselor · Rock Hill, SC

NPI number 1073069597 Active

Practice location

199 S Herlong Ave
Rock Hill, SC 29732-1186

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073069597

Derrick Fowler's National Provider Identifier is 1073069597, issued on Aug 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rock Hill, SC. The record was last updated on Aug 26, 2016.