Mallory Nicole Fowler
Social Worker in Visalia, CA. Individual provider (NPI-1).
NPI number1982127262
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1982127262
- Entity type
- Individual (NPI-1)
- Name
- Mallory Nicole Fowler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2017
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | ACSW81847 | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | |
| 101YM0800X | Counselor, Mental Health | – | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
520 E Tulare AveVisalia, CA 93292-3629
Phone 559-623-0496
Mailing address
520 E Tulare AveVisalia, CA 93292-3629
Phone 559-623-0496
Other practice locations
7485 N. Palm Avenue, Suite 103
Fresno, CA 93711
Fresno, CA 93711
Phone 559-221-8100
2570 Jensen Ave Ste 105
Sanger, CA 93657-2269
Sanger, CA 93657-2269
Phone 559-399-8144
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All 71 Social Worker providers in Visalia · All 5,100 providers in Visalia
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