FREDERICK FOWLE

CHARLOTTE, NC
NPI1578001806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  CSAC-21797)
Enumeration Date2017-02-07
Last Update Date2017-02-07
Business Address
-- FREDERICK FOWLE CSAC
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6900
Mailing Address
-- FREDERICK FOWLE CSAC
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447