Individual provider · Type 1 NPI
John R. Fowler, LISW-CP, CADC-III
Addiction (Substance Use Disorder) Counselor · Cownay, SC
NPI number
1073671715
Active
Practice location
203 Beaty Street
Cownay, SC 29526
Fax (843) 248-4013
Mailing address
P O Box 30819
Myrtle Beach, SC 29588-0014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 721 (WI) |
| Clinical Social Worker | 1041C0700X | 2307 (SC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1073671715
John R. Fowler, LISW-CP, CADC-III's National Provider Identifier is 1073671715, issued on Dec 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cownay, SC. The record was last updated on Jan 8, 2008.