Tonja R Fowlkes, MSW, LSW, LICDC

NPI #1114274404 in Parma, Ohio

Provider Information

NPI Number
1114274404
Entity Type
Individual
Name
Tonja R Fowlkes, MSW, LSW, LICDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MSW, LSW, LICDC
Enumeration Date
Aug 6, 2012
Last Updated
Jul 14, 2015

Practice Location

Address
6753 STATE RD
Address 2
COTTAGE #16
City
Parma
State
Ohio
ZIP Code
44134-4517
Phone
(440) 345-3017

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker

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