Individual
TRAVIS OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. / TCADC
Contact information
Practice address
48 INDEPENDENCE DR, HAZARD, KY 41701-9443
(606) 487-1646
(606) 487-1746
Mailing address
2050 HIGHWAY 721, HAZARD, KY 41701-7108
(606) 251-3308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
172792
KY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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