person
Mr. Kennith Wayne Fowler, CP60311706
Addiction (Substance Use Disorder) Counselor in Seattle, Washington
NPI 1578160610

Kennith Wayne Fowler is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Kennith Wayne Fowler practices in Seattle, WA and has the professional credentials of CP60311706. The NPI Number for Kennith Wayne Fowler is 1578160610 and holds a License No. CP60311706 (Washington).

The current practice location address for Kennith Wayne Fowler is 901 Rainier Ave S, Seattle, WA and can be reached out via phone at 206-470-3856.

Location: 901 Rainier Ave S, Seattle, WA, 98118-4163
person
Provider Profile Details
NPI Number
1578160610
Provider Name
Kennith Wayne Fowler
Credential
CP60311706
Provider Entity Type
Individual
Gender
Male
Address
901 Rainier Ave S, Seattle, WA, 98118-4163
Phone Number
206-470-3856
Fax Number
Provider Enumeration Date
10/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 Rainier Ave S
City
State
Zip
98144-2839
Phone Number
206-470-3856
Fax Number
person
Provider Business Mailing Address Details
Address
901 Rainier Ave S
City
State
Zip
98144-2839
Phone Number
206-470-3856
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60311706 (Washington)
Definition
Definition to come...
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