Individual
ANDREW OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
991 READING RD STE 8, MASON, OH 45040-0057
(513) 445-9688
Mailing address
991 READING RD STE 8, MASON, OH 45040-0057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172475
CDCA LICENSE
OH
Enumeration date
02/27/2020
Last updated
02/27/2020
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