Ernie Fowler

NPI #1962963777 in Eldorado, Illinois

Provider Information

NPI Number: 1962963777
Entity Type: Individual
Name: Ernie Fowler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 26, 2019
Last Updated: Mar 26, 2019

Practice Location

Address: 1412 US HIGHWAY 45 N
City: Eldorado
State: Illinois
ZIP Code: 62930-3766
Phone: (618) 273-3326

Specialties & Taxonomy Codes

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

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