| Doctor Name: | MS. CAROL A FOWLER |
| NPI Number: | 1235163023 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 6401005773 |
| Business Practice Address: | 300 Hecla St Laurium, MI - 499132128 |
| Business Phone Number: | 9062311941 |
| Business Fax Number: | |
| Mailing Address: | Po Box 127, CALUMET |
| State: | MI |
| Postal Code: | 499130127 |
| Phone Number: | 9062311941 |
| Fax Number: | 9063375378 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 11/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401005773 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |