Individual
LINDA JAN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
475 PROVIDENCE MAIN ST NW STE 303C, HUNTSVILLE, AL 35806-4817
(931) 229-0005
Mailing address
1319 BAKER MOUNTAIN RD, GRANT, AL 35747-9685
(256) 348-5174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3497A
AL
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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