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Michael Fowler, LMFT

Marriage & Family Therapist in Fort Worth, TX. Individual provider (NPI-1).

NPI number1982171047
StatusActive
Last updated in NPPESSep 14, 2021

Details

NPI
1982171047
Entity type
Individual (NPI-1)
Name
Michael Fowler
Credential
LMFT
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 26, 2018
Certification date
Dec 15, 2020
Last updated
Sep 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist203354TXYes

Practice location

4616 Quarry Cir
Fort Worth, TX 76244-7903

Phone 817-707-0772

Mailing address

4616 Quarry Cir
Fort Worth, TX 76244-7903

Phone 817-707-0772

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