Individual provider · Type 1 NPI

Tonja R. Fowlkes, MSW, LSW, LICDC

Addiction (Substance Use Disorder) Counselor · Parma, OH

NPI number 1114274404 Active

Practice location

6753 State Rd, Cottage #16
Parma, OH 44134-4517

Call (440) 345-3017 Map

Fax (440) 345-3019

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11281 (OH)
Social Worker 104100000X0701273 (OH)

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

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About NPI 1114274404

Tonja R. Fowlkes, MSW, LSW, LICDC's National Provider Identifier is 1114274404, issued on Aug 6, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Parma, OH. The record was last updated on Jul 14, 2015.