Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL ANTHONY FOWLKES, 101YM0800X
ActiveMental Health Counselor · LANDOVER, MD
Registration Details
- NPI Number
- 1497226385
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2018 (7.3456598791484 yrs)
- Last Updated
- Sep 9, 2024
- Licenses
-
CAC11019 (DC)1019 (DC)
Practice Information
- Address
-
906 HILL RD APT 201LANDOVER, MD, 207854340Browse MD providers · Browse ZIP 20785
- Phone
- 7717770516
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Mental Health Counselor Providers in LANDOVER, MD
| Name | Credential | NPI |
|---|---|---|
| DR. BRUCE EDWARD MCCLURE | PHD, LCPC,NCC | 1649375825 |
| VERA TEBO | CRNP-PMH-BC | 1912273178 |
| MS. LEESHE GRIMES | MS, NCC, LCPC | 1669982633 |
| ANGELA J LEE | — | 1871003707 |
| MS. GLADYS PAYNE | — | 1093226425 |
| MEGAN M LESTINO | — | 1790306140 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.