Fowler, Kristi Jean

Fowler, Kristi Jean is an sole proprietor health care provider with primary practice located at 140 River Vista Pl , Twin Falls ID 83301-3056. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fowler, Kristi Jean can be contacted via phone (208) 732-0405.

Contact Information

Primary practice address
140 River Vista Pl Twin Falls ID 83301-3056
Phone: (208) 732-0405
Fax: (208) 732-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-3585 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 37523 California

Profile Details

NPI number 1447384557
LBN Legal business name Fowler, Kristi Jean
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Feb 11th, 2010 - about 15 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1447384557 NPPES
Idaho Other 11653580 CAQH
Idaho Other 000010155785 CAQH
Idaho Other 2349596 CAQH
Idaho Other 000007224 CAQH
Idaho Other Q7411 CAQH

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