Individual
KENANESHA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 HOLCOLMB BRIDGE RD SUITE J2, NORCROSS, GA 30071
(770) 696-9231
Mailing address
1865 1ST CV APT 8, MEMPHIS, TN 38134-9140
(901) 493-0459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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