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Lisa Ann Fowler
Mental Health Counselor in San Rafael, California
NPI 1295928877

Lisa Ann Fowler is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Lisa Ann Fowler practices in San Rafael, CA. The NPI Number for Lisa Ann Fowler is 1295928877 and holds a License No. (California).

The current practice location address for Lisa Ann Fowler is 555 Norhtgate Dr., San Rafael, CA and can be reached out via phone at 415-491-5700.

Location: 555 Norhtgate Dr., San Rafael, CA, 94903-3680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295928877
Provider Name
Lisa Ann Fowler
Credential
Provider Entity Type
Individual
Gender
Female
Address
555 Norhtgate Dr., San Rafael, CA, 94903-3680
Phone Number
415-491-5700
Fax Number
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 Norhtgate Dr.
City
San Rafael
State
California
Zip
94903-3680
Phone Number
415-491-5700
Fax Number
person
Provider Business Mailing Address Details
Address
555 Norhtgate Dr.
City
San Rafael
State
California
Zip
94903-3680
Phone Number
415-491-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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