Individual provider · Type 1 NPI

Shytiera Fowlkes

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1114496635 Active

Practice location

1119 E Monument St
Baltimore, MD 21202-4119

Mailing address

3310 Eastern Ave
Baltimore, MD 21224-4108

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1114496635

Shytiera Fowlkes's National Provider Identifier is 1114496635, issued on Nov 14, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Oct 8, 2024.