Individual provider · Type 1 NPI

Eola Shelly Fowler

Mental Health Counselor · Kingman, AZ

NPI number 1114491537 Active

Practice location

3505 Western Ave
Kingman, AZ 86409-3071

Call (928) 757-8111 Map

Mailing address

3784 E Snavely Bay
Kingman, AZ 86409-0850

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-22881 (AZ)
Addiction (Substance Use Disorder) Counselor 101YA0400XLIAC-155347 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1114491537

Eola Shelly Fowler's National Provider Identifier is 1114491537, issued on Jan 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kingman, AZ. The record was last updated on Apr 9, 2025.