Individual provider · Type 1 NPI
Michael Anthony Fowlkes, 101YM0800X
Mental Health Counselor · Landover, MD
NPI number
1497226385
Active
Practice location
906 Hill Rd Apt 201
Landover, MD 20785-4340
Other practice locations
- 1320 Good Hope Rd SE, Washington, DC 20020-6912 · (202) 610-1886
- 2918 Minnesota Ave SE, Washington, DC 20019-1127 · (240) 375-1957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CAC11019 (DC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1019 (DC) |
Mental Health Counselor: Definition to come...
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About NPI 1497226385
Michael Anthony Fowlkes, 101YM0800X's National Provider Identifier is 1497226385, issued on Dec 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Landover, MD. The record was last updated on Sep 9, 2024.