Ellen Fowler

NPI #1225707151 in Crystal River, Florida

Provider Information

NPI Number: 1225707151
Entity Type: Individual
Name: Ellen Fowler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 13, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 582 SE 7TH AVE STE B
City: Crystal River
State: Florida
ZIP Code: 34429-4840
Phone: (352) 228-8829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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