Derrick Fowler
NPI #1073069597 in Rock Hill, South Carolina
Provider Information
- NPI Number
- 1073069597
- Entity Type
- Individual
- Name
- Derrick Fowler
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 26, 2016
- Last Updated
- Aug 26, 2016
Practice Location
- Address
- 199 S HERLONG AVE
- City
- Rock Hill
- State
- South Carolina
- ZIP Code
- 29732-1186
- Phone
- (803) 324-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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