Whalio Doctors

NPI 1255751269

Matthew Fowler, MALPCCS

Practitioner Professional Counselor Versailles, KY

Practice location

Address
220 Frankfort St STE 1, Versailles, KY 40383
Phone
(859) 753-7196
Fax
(859) 214-4498
Mailing address
220 Frankfort St STE 1, Versailles, KY 40383-1079

Registered specialties (2)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 164566 (KY)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPCPCC00225355 (KY)

Registry record

NPI
1255751269
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Apr 2014
Record last updated
8 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.