Individual
KADISON OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC, NCC
Contact information
Practice address
1050 N 3RD ST STE N, LARAMIE, WY 82072-2543
(307) 421-5320
Mailing address
514 E GRAND AVE, PMB 149, LARAMIE, WY 82070-3839
(074) 215-3203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
GA
101YM0800X
Mental Health Counselor
Primary
LPC-2407
WY
101YP2500X
Professional Counselor
LPC013899
GA
225C00000X
Rehabilitation Counselor
—
GA
Other
Enumeration date
10/16/2023
Last updated
06/25/2025
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