person
Kirk P Fowler, CDP
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1760954960

Kirk P Fowler is an Addiction (Substance Use Disorder) Counselor based in Shelton, WA and is specialized in Addiction (Substance Use Disorder). Kirk P Fowler practices in Chehalis, WA and has the professional credentials of CDP. The NPI Number for Kirk P Fowler is 1760954960 and holds a License No. CP60625039 (Washington).

The current practice location address for Kirk P Fowler is 135 W Main St, Chehalis, WA and can be reached out via phone at 360-748-4339 and via fax at 360-748-3349.

Location: 135 W Main St, Chehalis, WA, 98584-6319
person
Provider Profile Details
NPI Number
1760954960
Provider Name
Kirk P Fowler
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
135 W Main St, Chehalis, WA, 98584-6319
Phone Number
360-748-4339
Fax Number
360-748-3349
Provider Enumeration Date
12/28/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2077844 05 WA
institution
Provider Business Practice Location Address Details
Address
135 W Main St
City
State
Zip
98532-4817
Phone Number
360-748-4339
Fax Number
360-748-3349
person
Provider Business Mailing Address Details
Address
135 W Main St
City
State
Zip
98532-4817
Phone Number
360-748-4339
Fax Number
360-748-3349
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60625039 (Washington)
Definition
Definition to come...
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