MARK RICHARDSON FOWLIS CAADE NPI 1285904326

NPI Information

  • NPI: 1285904326
  • Provider Name: MARK RICHARDSON FOWLIS, CAADE
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 11777 SEBASTIAN WAY STE 102
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 838-0044

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NPI Details

Mark Richardson Fowlis, CAADE is an addiction (substance use disorder) counselor in Rancho Cucamonga, CA. Mark Richardson Fowlis, CAADE NPI is 1285904326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 838-0044

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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