MELISSA FOWLER

LA MIRADA, CA
NPI1861700510
Former NameMELISSA ELIZABETH BARTLOTTI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  73228)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  33406)
101YM0800X Counselor, Mental Health
Enumeration Date2010-09-15
Last Update Date2017-05-09
Business Address
Mrs. MELISSA FOWLER LCSW
15651 IMPERIAL HWY SUITE 203
LA MIRADA, CA 90638-1628
Phone number: 562-383-1728
Mailing Address
Mrs. MELISSA FOWLER LCSW
PO BOX 1831
LA MIRADA, CA 90637-1831
Phone number: 562-383-1728