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
ZIP Code
94590-4519
Phone
(707) 553-5331

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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