Individual
JAN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 E HIGHLAND AVE, PHOENIX, AZ 85014-3625
(602) 241-6656
(602) 241-7506
Mailing address
730 E HIGHLAND AVE, PHOENIX, AZ 85014-3625
(602) 241-6656
(602) 241-7506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LISAC 1288
AZ
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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