Individual provider · Type 1 NPI

Mark Richardson Fowlis, CAADE

Addiction (Substance Use Disorder) Counselor · Rancho Cucamonga, CA

NPI number 1285904326 Active

Practice location

11777 Sebastian Way Ste 102
Rancho Cucamonga, CA 91730

Specialties and licenses

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

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

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About NPI 1285904326

Mark Richardson Fowlis, CAADE's National Provider Identifier is 1285904326, issued on Jan 6, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jan 6, 2012.