Theodore William Fowler
Theodore William Fowler is an Addiction (Substance Use Disorder) Counselor in San Jose, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
650 S Bascom AveSan Jose, CA 95128-2601
Phone: (408) 283-8555
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1208500715 (CA) |
|---|
Record details
| NPI number | 1487162962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2018 |
| Last updated in NPPES | January 18, 2018 |
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