Maryanne Fowler, LPC
Individual provider Active NPI Professional Counselor · Arnold, MO
NPI 1245549641 · NPPES record last updated Oct 2, 2010
Key facts
- NPI
- 1245549641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2008025293 (MO)
- Practice address
- 1331 Jeffco Blvd
Suite #3
Arnold, MO 63010-2165 - Phone
- (314) 456-9970
- NPI assigned
- Oct 2, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008025293 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2008025293 | MO | Yes |
Addresses
Primary practice location
1331 Jeffco Blvd
Suite #3
Arnold, MO 63010-2165
Mailing address
1331 Jeffco Blvd
Suite #3
Arnold, MO 63010-2165
Phone (314) 456-9970
Other providers in Arnold, MO
- April Flieg
- Bethany Florence
- Mary Elizabeth Foreman
- Katelyn Danielle Forthaus
- Lauren Elena Fortney
- Courtney Fraley
- Benessa Denise Francis
- Kelly E Franklin
- Kiley Freesmeier
- Claire Rebecca Freise
All providers in Arnold, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.