Individual
REBECCA AZIS OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 HOSPITAL DR, CLYDE, NC 28721-8026
(828) 454-0560
Mailing address
414 HOSPITAL DR, CLYDE, NC 28721-8026
(828) 454-0560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
884
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111772
—
NC
Enumeration date
03/28/2008
Last updated
03/28/2008
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