person
Derrick Fowler, LCAS-A
Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina
NPI 1518369065

Derrick Fowler is an Addiction (Substance Use Disorder) Counselor based in Reidsville, NC and is specialized in Addiction (Substance Use Disorder). Derrick Fowler practices in Winston Salem, NC and has the professional credentials of LCAS-A. The NPI Number for Derrick Fowler is 1518369065 and holds a License No. LCAS-16 (North Carolina).

The current practice location address for Derrick Fowler is 650 Highland Ave Ste 100, Winston Salem, NC and can be reached out via phone at 336-607-8523 and via fax at 336-773-0916.

Location: 650 Highland Ave Ste 100, Winston Salem, NC, 27320-0336
person
Provider Profile Details
NPI Number
1518369065
Provider Name
Derrick Fowler
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Male
Address
650 Highland Ave Ste 100, Winston Salem, NC, 27320-0336
Phone Number
336-607-8523
Fax Number
336-773-0916
Provider Enumeration Date
09/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 Highland Ave Ste 100
City
State
Zip
27101-4304
Phone Number
336-607-8523
Fax Number
336-773-0916
person
Provider Business Mailing Address Details
Address
650 Highland Ave Ste 100
City
State
Zip
27101-4304
Phone Number
336-607-8523
Fax Number
336-773-0916
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS-16 (North Carolina)
Definition
Definition to come...
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