Most Relevant Information
Provider Data
| NPI Number: | 1003660085 |
| Provider Name: | DAVID FOWLER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
232 2ND AVE S
KENT
WA
980325862
Practice Location Phone/Fax
| Phone: | 2538590300 |
| Fax: |
Provider Mailing Location
232 2ND AVE S
KENT
WA
980325862
Provider Mailing Phone/Fax
| Phone: | 2538590300 |
| Fax: |