Samantha Fowlkes, LPC

NPI #1851059430 in Colwyn, Pennsylvania

Provider Information

NPI Number: 1851059430
Entity Type: Individual
Name: Samantha Fowlkes, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Dec 1, 2021
Last Updated: Sep 16, 2022

Practice Location

Address: 110 SOUTH 2ND ST
City: Colwyn
State: Pennsylvania
ZIP Code: 19023
Phone: (484) 836-9016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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