Individual provider · Type 1 NPI

Endris Fowler

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1083985394 Active

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1411

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1913685 (CA)

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

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About NPI 1083985394

Endris Fowler's National Provider Identifier is 1083985394, issued on Jan 18, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Aug 15, 2023.