Individual
KATHRYN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10259810-6004
UT
101YP2500X
Professional Counselor
10259810-6109
UT
Other
Enumeration date
05/12/2022
Last updated
03/11/2024
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