Mr. Ethan Douglas Fowler-Humphrey
Mr. Ethan Douglas Fowler-Humphrey is a Mental Health Counselor in Lexington, Massachusetts. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1040 Waltham StLexington, MA 02421-8033
Phone: (781) 862-3600
Fax: (781) 860-0589
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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 |
|---|
Record details
| NPI number | 1801185640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 1, 2011 |
| Last updated in NPPES | April 1, 2011 |
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