Individual
KRISTEN E OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3527
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3527
STATE LICENSE NUMBER
WI
Enumeration date
07/03/2006
Last updated
07/08/2007
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