Individual provider · Type 1 NPI

Shannon K. Fowler, LPC LICENSE NO 7745

Mental Health Counselor · Shreveport, LA

NPI number 1194099259 Active

Practice location

6811 Fairfield Ave
Shreveport, LA 71106-3803

Mailing address

8932 Jewella Ave
Shreveport, LA 71118-2117

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7745 (LA)
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XLPC7745 (LA)

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About NPI 1194099259

Shannon K. Fowler, LPC LICENSE NO 7745's National Provider Identifier is 1194099259, issued on Mar 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Apr 27, 2023.