| Doctor Name: | MS. JUDITH BUTLER FOWLES |
| NPI Number: | 1295905354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CC2147 |
| Business Practice Address: | 519 Bigelow Hill Rd Skowhegan, ME - 049765226 |
| Business Phone Number: | 2074742014 |
| Business Fax Number: | 2074742014 |
| Mailing Address: | 519 Bigelow Hill Rd, Po Box 501 SKOWHEGAN |
| State: | ME |
| Postal Code: | 049765226 |
| Phone Number: | 2074742014 |
| Fax Number: | 2074742014 |
| NPI Enumeration Date: | 03/05/2008 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC2147 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |