Jim Wayne Fowler, LPC
NPI #1154070894 in Waxahachie, Texas
Provider Information
- NPI Number
- 1154070894
- Entity Type
- Individual
- Name
- Jim Wayne Fowler, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Mar 21, 2022
- Last Updated
- Mar 21, 2022
Practice Location
- Address
- 101 CARRIAGE DR
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165-6502
- Phone
- (214) 912-9538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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