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Carol Fowlkes
Mental Health Counselor in Gardena, California
NPI 1306328281

Carol Fowlkes is a Mental Health Counselor based in Gardena, CA and is specialized in Mental Health. Carol Fowlkes practices in Gardena, CA. The NPI Number for Carol Fowlkes is 1306328281 and holds a License No. ASW99662 (California).

The current practice location address for Carol Fowlkes is 879 W 190Th St, Gardena, CA and can be reached out via phone at 310-323-6887 and via fax at 714-680-8233.

Location: 879 W 190Th St, Gardena, CA, 90248-4223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306328281
Provider Name
Carol Fowlkes
Credential
Provider Entity Type
Individual
Gender
Female
Address
879 W 190Th St, Gardena, CA, 90248-4223
Phone Number
310-323-6887
Fax Number
714-680-8233
Provider Enumeration Date
09/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
879 W 190Th St
City
Gardena
State
California
Zip
90248-4220
Phone Number
310-323-6887
Fax Number
714-680-8233
person
Provider Business Mailing Address Details
Address
879 W 190Th St
City
Gardena
State
California
Zip
90248-4220
Phone Number
310-323-6887
Fax Number
714-680-8233
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...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
118545 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ASW99662 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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