Individual provider · Type 1 NPI
Stephania Marice Fowler
Mental Health Counselor · Little Rock, AR
NPI number
1114210564
Active
Practice location
6450 West 12th
Little Rock, AR 72204
Mailing address
356 E Bolling Ave
Monticello, AR 71655-5606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1114210564
Stephania Marice Fowler's National Provider Identifier is 1114210564, issued on May 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on May 18, 2011.