Individual provider · Type 1 NPI
Mary Leslie Wilson Fowler, LPC
Professional Counselor · Grenada, MS
NPI number
1598916280
Active
Practice location
1800 Hill Dr Ste E
Grenada, MS 38901-5071
Mailing address
403 College St
Winona, MS 38967-1832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1157 (MS) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Grenada
About NPI 1598916280
Mary Leslie Wilson Fowler, LPC's National Provider Identifier is 1598916280, issued on Oct 1, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grenada, MS. The record was last updated on Oct 1, 2008.