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

Eola Shelly Fowler

Individual provider Mental Health Counselor · NPI 1114491537

Eola Shelly Fowler is a Mental Health Counselor in Kingman, Arizona. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3505 Western Ave
Kingman, AZ 86409-3071
Phone: (928) 757-8111
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 LCSW-22881 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LIAC-155347 (AZ)

Record details

NPI number1114491537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESApril 9, 2025
Certification dateApril 8, 2025

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