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Contact Information

CATHERINE AVANT FOWLER, LMHC, LCDP
530 N MAIN ST
PROVIDENCE, RI02904-5762
 Phone: 401-274-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CATHERINE AVANT FOWLER · (Female)

NPI # 1265446264
Status Active
Credentials LMHC, LCDP
Entity Individual
Enumeration date 07/28/2006
Last updated 11/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • RI License # LCDP00163
  • RI License # MHC00335
  • RI Medicaid CA55331
  • RI Other 414649 B.CHIP
  • RI Other 33268-0 B.CROSS
  • RI Other 1104847946 THE PROVIDENCE CENTER NPI
  • RI Other 62-89732 UNITED BEHAVIORAL HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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