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Search › California › Addiction (Substance Use Disorder) Counselor

Derek Fowler

NPI 1194351783 · on the registry since 2020 · sole proprietor

Practice

Address
13333 Palmdale Rd
Victorville, CA 92392
Phone
(760) 241-4917
Fax
(760) 241-8911
Organisation at this address
Vanessa Villa
Phoenix House Orange County, Inc.
St. John Of God Health Care Services
St. John Of God Health Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Also registered as
Addiction (Substance Use Disorder) Counselor
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California