| Blake Anthony Fowler, APC, NCC | |
|
175 Gwinnet Drive, Lawrenceville, GA 30046 | |
| (678) 209-2394 | |
| Not Available |
| Full Name | Blake Anthony Fowler |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 175 Gwinnet Drive, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053097923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | APC009118 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Anthony Fowler, APC, NCC 337 Osprey Point, Stone Mountain, GA 30087 Ph: (470) 286-5985 | Blake Anthony Fowler, APC, NCC 175 Gwinnet Drive, Lawrenceville, GA 30046 Ph: (678) 209-2394 |
Ms. Katherine Anne Sturgis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 Fax: 678-212-6350 | |
Johnny Lee Mitchell Jr., LCSW Counselor Medicare: Medicare Enrolled Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2411 | |
John Troy Mcqueen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 685 Rosedown Way, Lawrenceville, GA 30043 Phone: 678-925-4545 | |
Fatima Flynn, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 | |
Mrs. Christy Hall Wages, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 Scenic Hwy, Suite 100, Lawrenceville, GA 30045 Phone: 770-995-1846 Fax: 770-995-6614 | |
Angella Bramwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 770-339-2395 Fax: 678-990-3997 | |
Jenna Spears, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 678-634-9237 |