| Eola Shelly Fowler, | |
|
3505 Western Ave, Kingman, AZ 86409-3071 | |
| (928) 757-8111 | |
| Not Available |
| Full Name | Eola Shelly Fowler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3505 Western Ave, Kingman, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114491537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW-22881 (Arizona) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LIAC-155347 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Eola Shelly Fowler, 3784 E Snavely Bay, Kingman, AZ 86409-0850 Ph: (775) 309-3351 | Eola Shelly Fowler, 3505 Western Ave, Kingman, AZ 86409-3071 Ph: (928) 757-8111 |
Ms. Staci Rene' Delaney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2252 Kingman Ave, Kingman, AZ 86401 Phone: 928-303-0269 | |
Miss Robyn K Yost, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1751 Stockton Hill Rd, Suite B, Kingman, AZ 86401 Phone: 928-377-9599 Fax: 928-757-3388 | |
Tanja Gromala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3175 Gordon Dr, Kingman, AZ 86409 Phone: 928-757-4328 | |
Reva Jean Sorber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4605 N Arnold Rd, Kingman, AZ 86409 Phone: 928-757-8993 | |
Dr. Lorraine Rachelle Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1850 Gates Ave, Kingman, AZ 86401 Phone: 928-377-0452 | |
Leellen Lou Anderson, LASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2002 N Stockton Hill Rd, Kingman, AZ 86401 Phone: 928-718-4800 Fax: 928-718-5666 |