Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Lyn Penfield Fowler, MA, LAC

Individual provider Mental Health Counselor · NPI 1518516715

Michelle Lyn Penfield Fowler, MA, LAC is a Mental Health Counselor in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

3048 E Baseline Rd Ste 107
Mesa, AZ 85204-7287
Phone: (480) 779-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-17978 (AZ)

Record details

NPI number1518516715
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LAC
Sole proprietorYes
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019

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