MR. Michael Anthony Fowlkes, 101YM0800X

NPI #1497226385 in Landover, Maryland

Provider Information

NPI Number: 1497226385
Entity Type: Individual
Name: MR. Michael Anthony Fowlkes, 101YM0800X
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: 101YM0800X
Enumeration Date: Dec 17, 2018
Last Updated: Sep 9, 2024

Practice Location

Address: 906 HILL RD APT 201
City: Landover
State: Maryland
ZIP Code: 20785-4340
Phone: (771) 777-0516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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