TIFFANY BLAIR FOWLER

SACRAMENTO, CA
NPI1942957964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CI42390424)
Enumeration Date2022-03-09
Last Update Date2025-02-12
Business Address
TIFFANY BLAIR FOWLER
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-921-6598
Mailing Address
TIFFANY BLAIR FOWLER
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-921-6598