Individual provider · Type 1 NPI
Kandi M. Fowler, CADC, MISA1, CAMS11
Addiction (Substance Use Disorder) Counselor · Chicago, IL
NPI number
1174079313
Active
Practice location
721 N. Lasalle St., 2601 W. Marquette Rd
Chicago, IL 60629
Fax (773) 349-8080
Mailing address
721 N. Lasalle, 721 N. Lasalle
Chicago, IL 60654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25385 (IL) |
| Mental Health Counselor | 101YM0800X | 25385 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1174079313
Kandi M. Fowler, CADC, MISA1, CAMS11's National Provider Identifier is 1174079313, issued on Aug 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Aug 28, 2016.