# MR. ANTHONY PORTER OWENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629639547
- **Gender:** Man
- **Credential:** LCSW, LADAC, MAC, SA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 00000005593 | TN | Yes |

## Other

- **Enumeration date:** 06/21/2019
- **Last updated:** 06/21/2019