Individual
KRISTINA OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
125 E PEARL AVE STE 108, JACKSON, WY 83001-8599
(307) 690-3180
Mailing address
2000 BARBERRY RD, JACKSON, WY 83001-8820
(307) 690-8291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-1448
WY
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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