Individual provider · Type 1 NPI
Lisa Ann Fowler
Mental Health Counselor · San Rafael, CA
NPI number
1295928877
Active
Practice location
555 Norhtgate Dr., Family Service Agency Of Marin
San Rafael, CA 94903-3680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1295928877
Lisa Ann Fowler's National Provider Identifier is 1295928877, issued on Aug 27, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Aug 27, 2007.