MR. Cephus Ronnell Fowler, LMFT
NPI #1629139464 in Vallejo, California
Provider Information
- NPI Number
- 1629139464
- Entity Type
- Individual
- Name
- MR. Cephus Ronnell Fowler, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- LMFT
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 228 BROADWAY ST
- City
- Vallejo
- State
- California
- ZIP Code
- 94590-4519
- Phone
- (707) 553-5331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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