Individual
MRS. GINA MICHELLE OWENS-SPAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
320 E ARMSTRONG AVE, PEORIA, IL 61603-3172
(309) 624-9522
(309) 624-9555
Mailing address
320 E ARMSTRONG AVE, PEORIA, IL 61603-3172
(309) 624-9522
(309) 624-9555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-004587
IL
Other
Enumeration date
01/12/2010
Last updated
09/10/2013
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