KIRK P FOWLER

CHEHALIS, WA
NPI1760954960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60625039)
Enumeration Date2018-12-28
Last Update Date2024-03-07
Business Address
KIRK P FOWLER CDP
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-4339
Mailing Address
KIRK P FOWLER CDP
2321 W DAYTON AIRPORT RD
SHELTON, WA 98584-6319
Phone number: