Jackie Lynn Fowler
Counselor in Norwalk, CA. Individual provider (NPI-1).
NPI number1710277520
StatusActive
Last updated in NPPESMay 26, 2011
Details
- NPI
- 1710277520
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jackie Lynn Fowler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2011
- Last updated
- May 26, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Other names
- Jackie Lynn Young (Former Name)
Practice location
12440 E. Firestone Blvd.Ste. 1000
Norwalk, CA 90650-4448
Phone 562-864-3722 · Fax 562-864-4596
Mailing address
14646 Biola AveLa Mirada, CA 90638-4448
Phone 714-345-3795
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Counselor providers in Norwalk · All 1,965 providers in Norwalk
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