Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Anthony Fowler, APC, NCC

Individual provider Counselor · NPI 1053097923

Blake Anthony Fowler, APC, NCC is a Counselor in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

175 Gwinnet Dr
Lawrenceville, GA 30046
Phone: (678) 209-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence APC009118 (GA)

Record details

NPI number1053097923
Entity typeIndividual (Type 1)
GenderMale
Credentials APC , NCC
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

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