Individual provider · Type 1 NPI

Tieshekia Fowlks-

Professional Counselor · Tucker, GA

NPI number 1881990950 Active

Practice location

3776 Lavista Rd Ste 350
Tucker, GA 30084-5648

Call (404) 914-8877 Map

Mailing address

PO Box 473
Clarkston, GA 30021-0473

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X005832 (GA)

Professional Counselor: Definition to come...

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About NPI 1881990950

Tieshekia Fowlks-'s National Provider Identifier is 1881990950, issued on Feb 7, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucker, GA. The record was last updated on Dec 30, 2024.