person
Mary Leslie Wilson Fowler, LPC
Professional Counselor in Grenada, Mississippi
NPI 1598916280

Mary Leslie Wilson Fowler is a Professional Counselor based in Winona, MS and is specialized in Professional. Mary Leslie Wilson Fowler practices in Grenada, MS and has the professional credentials of LPC. The NPI Number for Mary Leslie Wilson Fowler is 1598916280 and holds a License No. 1157 (Mississippi).

The current practice location address for Mary Leslie Wilson Fowler is 1800 Hill Dr Ste E, Grenada, MS and can be reached out via phone at 662-582-3193.

Location: 1800 Hill Dr Ste E, Grenada, MS, 38967-1832
person
Provider Profile Details
NPI Number
1598916280
Provider Name
Mary Leslie Wilson Fowler
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1800 Hill Dr Ste E, Grenada, MS, 38967-1832
Phone Number
662-582-3193
Fax Number
Provider Enumeration Date
10/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Hill Dr Ste E
City
State
Zip
38901-5071
Phone Number
662-582-3193
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Hill Dr Ste E
City
State
Zip
38901-5071
Phone Number
662-582-3193
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1157 (Mississippi)
Definition
Definition to come...
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