ALLEN J FOWLER

IDAHO FALLS, ID
NPI1144190570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  11457)
Enumeration Date2025-11-10
Last Update Date2025-11-10
Business Address
ALLEN J FOWLER ADC
1020 LAND BANK ST
IDAHO FALLS, ID 83402-1809
Phone number: 208-520-6992
Mailing Address
ALLEN J FOWLER ADC
1020 LAND BANK ST
IDAHO FALLS, ID 83402-1809
Phone number: 208-520-6992
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