Fowlkes, Glenn

Fowlkes, Glenn is an sole proprietor health care provider with primary practice located at 1 Mill St #102, Farmville VA 23901-3401. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fowlkes, Glenn can be contacted via phone (434) 298-7318.

Contact Information

Primary practice address
1 Mill St #102 Farmville VA 23901-3401
Phone: (434) 298-7318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701005616 Virginia

Profile Details

NPI number 1760881080
LBN Legal business name Fowlkes, Glenn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2014
Last updated Aug 22nd, 2014 - about 10 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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