Individual
MRS. STEPHANIE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1429-125
WI
101YP2500X
Professional Counselor
1429-125
WI
104100000X
Social Worker
6729-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017002
—
WI
Enumeration date
11/02/2006
Last updated
03/12/2026
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