Fowler, Anisha Nicole

Fowler, Anisha Nicole is an individual health care provider with primary practice located at 508 Alabama St , Vallejo CA 94590-4446. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fowler, Anisha Nicole can be contacted via phone (707) 515-7186.

Contact Information

Primary practice address
508 Alabama St Vallejo CA 94590-4446
Phone: (707) 515-7186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1487183505
LBN Legal business name Fowler, Anisha Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Jul 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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