Ingrid Fowler, RADT 1

NPI #1174076475 in Carmichael, California

Provider Information

NPI Number
1174076475
Entity Type
Individual
Name
Ingrid Fowler, RADT 1
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
RADT 1
Enumeration Date
Aug 3, 2016
Last Updated
Aug 3, 2016

Practice Location

Address
8400 FAIR OAKS BLVD
ZIP Code
95608-2502
Phone
(916) 944-3920

Specialties & Taxonomy Codes

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

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