MRS. JACKIE LYNN FOWLER (NPI# 1710277520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710277520 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE LYNN FOWLER |
| Other Name | JACKIE LYNN YOUNG |
| Practice Address |
12440 E. Firestone Blvd. Ste. 1000 Norwalk CA 90650-4448 |
| Mailing Address |
14646 Biola Ave La Mirada CA 90638-4448 |
| Practice Telephone | 5628643722 |
| Practice Fax Number | 5628644596 |
| Mailing Telephone | 7143453795 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
12440 E. FIRESTONE BLVD. STE. 1000 |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770024234 | Kayley Machado | Counselor | 12440 E. Firestone Blvd., Suite 316, Norwalk, CA 90650 | 2017-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210437 | Bianca Paolello | Counselor | 83 East Ave Ste 208, Norwalk, CT 06851-4902 | 2019-11-26 |
| 1144700964 | Scott Taylor Brutsche | Counselor | 34 Woodlawn, Norwalk, OH 44857 | 2018-08-21 |
| 1770094971 | Christen Bucknall | Counselor | 249 Chestnut Hill Rd, Norwalk, CT 06851-1412 | 2017-10-16 |
| 1619398740 | Maria La Mura La Mura Barker | Counselor | 55 Rowayton Ave, Norwalk, CT 06853 | 2013-12-16 |
| 1922344027 | Harvey Milton Weitzel | Counselor | 250 Wolfpit Ave, Norwalk, CT 06851-2647 | 2012-12-17 |
| 1649507500 | Wendie F. Parsons-nuhn | Counselor | 85 Benedict Ave Ste 105a, Norwalk, OH 44857-2112 | 2009-11-12 |
| 1356550701 | Alan Emmett Bradley Jr. | Counselor | 9 Fair St, Norwalk, CT 06851-4509 | 2007-05-22 |
| 1346861747 | Clear Minds Coaching & Counseling | Counselor | 4 E Seminary St, Norwalk, OH 44857-2121 | 2020-04-27 |
| 1720541030 | Vincent Duong | Counselor | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-04-12 |
| 1558839886 | Demi Lynn Porter | Counselor | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2018-11-05 |
| Find all providers in NORWALK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.