Individual
KANEESHA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 E FRANKLIN ST, ROCKINGHAM, NC 28379-3627
(910) 587-0234
Mailing address
PO BOX 44122, FAYETTEVILLE, NC 28309-4122
(910) 587-0234
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11063A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11063A
NCMFT
NC
Enumeration date
12/15/2016
Last updated
12/15/2016
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