Individual provider · Type 1 NPI

Derek Fowler

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1194351783 Active

Practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

Call (760) 241-4917 Map

Fax (760) 241-8911

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XRH0011751123 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1194351783

Derek Fowler's National Provider Identifier is 1194351783, issued on Mar 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Feb 5, 2024.