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

Derrick Fowler, MSRC, LCAS, LCMHC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518369065

Derrick Fowler, MSRC, LCAS, LCMHC is an Addiction (Substance Use Disorder) Counselor in Burlington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2602 Eric Ln Ste D3
Burlington, NC 27215-5076
Phone: (336) 520-2270
Fax: (336) 800-3735
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13130 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3549 (NC)

Record details

NPI number1518369065
Entity typeIndividual (Type 1)
GenderMale
Credentials MSRC , LCAS , LCMHC
Sole proprietorYes
NPI enumeratedSeptember 16, 2014
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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