| Mary Leslie Wilson Fowler, LPC | |
|
1800 Hill Dr Ste E, Grenada, MS 38901-5071 | |
| (662) 582-3193 | |
| Not Available |
| Full Name | Mary Leslie Wilson Fowler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1800 Hill Dr Ste E, Grenada, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598916280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1157 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Leslie Wilson Fowler, LPC 403 College St, Winona, MS 38967-1832 Ph: (662) 582-3193 | Mary Leslie Wilson Fowler, LPC 1800 Hill Dr Ste E, Grenada, MS 38901-5071 Ph: (662) 582-3193 |
Keshia Dukes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 639 Lakeview Dr Ste C, Grenada, MS 38901 Phone: 662-809-2735 | |
Mr. John Thomas Mcree I, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2026 Commerce St Ste 8e, Grenada, MS 38901 Phone: 662-402-2902 | |
Ms. Sandra Helen Harvey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Hill Dr Ste E, Grenada, MS 38901 Phone: 662-226-9098 Fax: 662-226-9098 | |
Sonya Aycock, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 | |
Mr. Russell Shane Viner, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Southwest Frontage Road, Grenada, MS 38901 Phone: 662-226-3762 |