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

Carly Jae Maxwell

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508652272

Carly Jae Maxwell is an Addiction (Substance Use Disorder) Counselor in Fowler, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

311 E Merced St
Fowler, CA 93625-2316
Phone: (559) 892-9452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence APCC19936 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 21227 (CA)

Record details

NPI number1508652272
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address311 E Merced St, Fowler, CA 93625-2316

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