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MARK RICHARDSON FOWLIS CAADE
NPI 1285904326
Counselor - Addiction (Substance Use Disorder) in Rancho Cucamonga, CA

Active since January 06, 2012
11777 SEBASTIAN WAY STE 102, RANCHO CUCAMONGA, CA 91730(909) 838-0044 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Richardson Fowlis Caade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK RICHARDSON FOWLIS CAADE (NPI 1285904326) is an individual addiction (substance use disorder) provider in Rancho Cucamonga, California and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1285904326
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK RICHARDSON FOWLISCredential: CAADE
Location Address11777 SEBASTIAN WAY STE 102Rancho Cucamonga, CA 91730
Mailing Address11777 Sebastian Way Ste 102Rancho Cucamonga, CA 91730 · (909) 838-0044
Phone(909) 838-0044
Sole ProprietorNo
Enumeration DateJanuary 6, 2012
✔ NPI 1285904326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11777 SEBASTIAN WAY STE 102, Rancho Cucamonga, CA 91730
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA STRAND M.S.
Marriage & Family Therapist
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-9724
SUZANNE ELIZABETH MATA
Behavior Technician
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 838-0044
KIMBERLY WAMPLER
Behavior Analyst
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-9724
MICHAEL NELSON RASI
Counselor (Addiction (Substance Use Disorder))
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-9724
CHRISSIE RADCLIFF
Student in an Organized Health Care Education/Training Program
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 838-0044
JOSSALYN ENGBERSON B.S. HCA RASI
Behavior Analyst
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-9724
RICHARD STEVEN LEMMON RASI
Counselor (Addiction (Substance Use Disorder))
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-9724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fowlis's NPI number?

The NPI number for Mark Fowlis is 1285904326. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Where is Mark Fowlis located?

Mark Fowlis practices at 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730. The listed phone number is (909) 838-0044.

What is Mark Fowlis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Fowlis was last updated on January 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.