Individual provider · Type 1 NPI

Ernie Fowler

Addiction (Substance Use Disorder) Counselor · Eldorado, IL

NPI number 1962963777 Active

Practice location

1412 US Highway 45 N
Eldorado, IL 62930-3766

Fax (618) 273-2808

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 1962963777

Ernie Fowler's National Provider Identifier is 1962963777, issued on Mar 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eldorado, IL. The record was last updated on Mar 26, 2019.