Individual
AMY OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 CHURCH ST, EVANSTON, IL 60201-4508
(203) 693-4917
Mailing address
636 CHURCH ST, EVANSTON, IL 60201-4508
(203) 693-4917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.011741
IL
Other
Enumeration date
12/19/2017
Last updated
05/20/2025
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