Diane Fowler, CSAC
Counselor, Addiction (Substance Use Disorder) in Charlotte, NC. Individual provider (NPI-1).
NPI number1205242518
StatusActive
Last updated in NPPESJul 8, 2014
Details
- NPI
- 1205242518
- Entity type
- Individual (NPI-1)
- Name
- Diane Fowler
- Credential
- CSAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2014
- Last updated
- Jul 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 2747 | NC | Yes |
Practice location
515 Clanton RdCharlotte, NC 28217-1309
Phone 704-332-9001 · Fax 704-972-2086
Mailing address
515 Clanton RdCharlotte, NC 28217-1309
Phone 704-332-9001 · Fax 704-972-2086
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