# OWEN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114658549
- **Authorized official:** DR. KEVON OWEN DCOUN (CLINICAL DIRECTOR, CLINICIAN)
- **Authorized official phone:** (405) 740-1249

## Contact information

- **Practice address:** 12901 E BRITTON RD STE B, JONES, OK 73049-7407
- **Practice address phone:** (405) 740-1249
- **Practice address fax:** (405) 399-2471
- **Mailing address:** 12901 E BRITTON RD STE B, JONES, OK 73049-7407
- **Mailing address phone:** (405) 740-1249
- **Mailing address fax:** (405) 399-2471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2022
- **Last updated:** 01/26/2023