Individual provider · Type 1 NPI

Tyra Fowler

Mental Health Counselor · Garland, TX

NPI number 1275916694 Active

Practice location

2705 Deer Creek Ct
Garland, TX 75040-3939

Call (972) 898-1630 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11623 (TX)
Mental Health Counselor Primary 101YM0800X68725 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1275916694

Tyra Fowler's National Provider Identifier is 1275916694, issued on Jul 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Garland, TX. The record was last updated on Jul 2, 2015.