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Mr. Jerry Fowler, LSCW
Marriage & Family Therapist in Mckinleyville, California
NPI 1700839420

Jerry Fowler is a Marriage & Family Therapist based in Mckinleyville, CA. Jerry Fowler practices in Mckinleyville, CA and has the professional credentials of LSCW. The NPI Number for Jerry Fowler is 1700839420 and holds a License No. 652 (California).

The current practice location address for Jerry Fowler is 5300 Patrick Creek Dr, Mckinleyville, CA and can be reached out via phone at 707-839-0123.

Location: 5300 Patrick Creek Dr, Mckinleyville, CA, 95519-8024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700839420
Provider Name
Jerry Fowler
Credential
LSCW
Provider Entity Type
Individual
Gender
Male
Address
5300 Patrick Creek Dr, Mckinleyville, CA, 95519-8024
Phone Number
707-839-0123
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5300 Patrick Creek Dr
City
Mckinleyville
State
California
Zip
95519-8024
Phone Number
707-839-0123
Fax Number
person
Provider Business Mailing Address Details
Address
5300 Patrick Creek Dr
City
Mckinleyville
State
California
Zip
95519-8024
Phone Number
707-839-0123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
5750 (California)
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 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
652 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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