Fowlkes, Tonja R

Fowlkes, Tonja R is an individual health care provider with primary practice located at 6753 State Rd Cottage #16, Parma OH 44134-4517. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fowlkes, Tonja R can be contacted via phone (440) 345-3017.

Contact Information

Primary practice address
6753 State Rd Cottage #16 Parma OH 44134-4517
Phone: (440) 345-3017
Fax: (440) 345-3019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11281 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X 0701273 Ohio

Profile Details

NPI number 1114274404
LBN Legal business name Fowlkes, Tonja R
Credentials MSW, LSW, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2012
Last updated Jul 14th, 2015 - about 9 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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