person
Mark Richardson Fowlis, CAADE
Addiction (Substance Use Disorder) Counselor in Rancho Cucamonga, California
NPI 1285904326

Mark Richardson Fowlis is an Addiction (Substance Use Disorder) Counselor based in Rancho Cucamonga, CA and is specialized in Addiction (Substance Use Disorder). Mark Richardson Fowlis practices in Rancho Cucamonga, CA and has the professional credentials of CAADE. The NPI Number for Mark Richardson Fowlis is 1285904326 and holds a License No. (California).

The current practice location address for Mark Richardson Fowlis is 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA and can be reached out via phone at 909-838-0044.

Location: 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA, 91730
person
Provider Profile Details
NPI Number
1285904326
Provider Name
Mark Richardson Fowlis
Credential
CAADE
Provider Entity Type
Individual
Gender
Male
Address
11777 Sebastian Way Ste 102, Rancho Cucamonga, CA, 91730
Phone Number
909-838-0044
Fax Number
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11777 Sebastian Way Ste 102
City
State
Zip
91730
Phone Number
909-838-0044
Fax Number
person
Provider Business Mailing Address Details
Address
11777 Sebastian Way Ste 102
City
State
Zip
91730
Phone Number
909-838-0044
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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