Provider Demographics
NPI:1932495223
Name:FOWLER, KAREN ALLEN (LPCC-S)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ALLEN
Last Name:FOWLER
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MONUMENT SQ STE 301
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-2067
Mailing Address - Country:US
Mailing Address - Phone:937-631-0257
Mailing Address - Fax:937-653-8312
Practice Address - Street 1:40 MONUMENT SQ STE 301
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-2067
Practice Address - Country:US
Practice Address - Phone:937-631-0257
Practice Address - Fax:937-653-8312
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2941101YP2500X
OHE 0002941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional