MRS. Melissa Fowler, LCSW

NPI #1861700510 in La Mirada, California

Provider Information

NPI Number: 1861700510
Entity Type: Individual
Name: MRS. Melissa Fowler, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 15, 2010
Last Updated: May 9, 2017

Practice Location

Address: 15651 IMPERIAL HWY
Address 2: SUITE 203
City: La Mirada
State: California
ZIP Code: 90638-1628
Phone: (562) 383-1728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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