| Jamie Fowler Lcsw Inc | |
|
13700 Foothill Blvd # 921854 Sylmar CA 91342-3104 | |
| (818) 293-5635 | |
| Not Available |
| Full Name | Jamie Fowler Lcsw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13700 Foothill Blvd # 921854, Sylmar, California |
| Authorized Official Name and Position | Jamie Fowler (THERAPIST/OWNER) |
| Authorized Official Contact | 8182935635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Fowler Lcsw Inc Po Box 921854 Sylmar CA 91392-1854 Ph: (818) 293-5635 | Jamie Fowler Lcsw Inc 13700 Foothill Blvd # 921854 Sylmar CA 91342-3104 Ph: (818) 293-5635 |
| NPI Number | 1891530341 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891530341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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