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Derek Fowler

Counselor, Addiction (Substance Use Disorder) in Victorville, CA. Individual provider (NPI-1).

NPI number1194351783
StatusActive
Last updated in NPPESFeb 5, 2024

Details

NPI
1194351783
Entity type
Individual (NPI-1)
Name
Derek Fowler
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 16, 2020
Certification date
Feb 5, 2024
Last updated
Feb 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)RH0011751123CA

Practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

Phone 760-241-4917 · Fax 760-241-8911

Mailing address

13333 Palmdale Rd
Victorville, CA 92392-9364

Phone 760-487-3600

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Other Addiction (Substance Use Disorder) Counselor providers in Victorville, CA

All 153 Addiction (Substance Use Disorder) Counselor providers in Victorville · All 3,391 providers in Victorville

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