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NPI Code Detail

MEDICARE: ERIN FOWLER LPC

MEDICARE:   ERIN  FOWLER  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor4245CO

General Provider Information

NPI Number : 1528247897
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN FOWLER LPC
Provider Business Mailing Address
First Line : 4863 N NEVADA AVE STE 380
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3951
Country : US
Telephone Number : 719-255-8003
Fax Number : 719-255-8003
Provider Business Practice Location Address
First Line : 4863 N NEVADA AVE STE 380
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3951
Country : US
Telephone Number : 719-255-8003
Fax Number : 719-255-8075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2007
Last Update Date : 08/11/2020

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Directions to “ ERIN FOWLER LPC” Practice Location

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