| Fowler Cooper Lmft Pa | |
|
895 State Farm Rd Ste 210 Boone NC 28607 | |
| (828) 264-9222 | |
| (828) 264-1725 |
| Full Name | Fowler Cooper Lmft Pa |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 895 State Farm Rd, Boone, North Carolina |
| Authorized Official Name and Position | Fowler Faine Cooper (PRESIDENT) |
| Authorized Official Contact | 8282649222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowler Cooper Lmft Pa 895 State Farm Rd Ste 210 Boone NC 28607 Ph: (828) 264-9222 | Fowler Cooper Lmft Pa 895 State Farm Rd Ste 210 Boone NC 28607 Ph: (828) 264-9222 |
| NPI Number | 1457444762 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457444762 | NPI | - | NPPES |
| 6105038 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 689 (North Carolina) | Primary |
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